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1366914558
MICHELLE KIMBALL
BANGOR, ME
NPI
1366914558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME CAC6779)
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
MICHELLE KIMBALL
557 HAMMOND ST
BANGOR, ME 04401-4511
Phone number: 207-973-0505
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Mailing Address
MICHELLE KIMBALL
20 ROBINHOOD DR
HERMON, ME 04401-0600
Phone number: 207-478-6992
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