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1346381753
KIM MARIE LANE
FARMINGTON, ME
NPI
1346381753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC2621)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
-- KIM MARIE LANE LCSW
144 HIGH ST
FARMINGTON, ME 04938-1946
Phone number: 207-778-0521
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Mailing Address
-- KIM MARIE LANE LCSW
19 MARTIN AVE
WATERVILLE, ME 04901-4625
Phone number: 207-859-8770
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