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1356588180
ROSALIE (LEE) A RUSSELL
BANGOR, ME
NPI
1356588180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ME CC1892)
Enumeration Date
2009-01-15
Last Update Date
2009-05-19
Business Address
-- ROSALIE (LEE) A RUSSELL NCC, LCPC
77 COURT ST
BANGOR, ME 04401-4723
Phone number: 207-941-0879
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Mailing Address
-- ROSALIE (LEE) A RUSSELL NCC, LCPC
77 COURT ST
BANGOR, ME 04401-4723
Phone number: 207-941-0879
Copy
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