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1346454923
TIMOTHY MICHAEL MCBRADY
PORTLAND, ME
NPI
1346454923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC1323)
Enumeration Date
2007-05-10
Last Update Date
2010-12-14
Business Address
-- TIMOTHY MICHAEL MCBRADY LPN, LADC, CCS
2300 CONGRESS ST
PORTLAND, ME 04102-1908
Phone number: 207-221-2292
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Mailing Address
-- TIMOTHY MICHAEL MCBRADY LPN, LADC, CCS
936 ROOSEVELT TRL STE 14
WINDHAM, ME 04062-5652
Phone number: 207-893-0000
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