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1407240997
GEORGE STEVENS
PORTLAND, ME
NPI
1407240997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME CAC5635)
Enumeration Date
2015-03-24
Last Update Date
2015-03-24
Business Address
-- GEORGE STEVENS
142 HIGH ST SUITE 416
PORTLAND, ME 04101-2851
Phone number: 207-780-8999
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Mailing Address
-- GEORGE STEVENS
142 HIGH ST SUITE 416
PORTLAND, ME 04101-2851
Phone number:
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