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1417053703
LESLIE BARTLETT KLOCKOW
BRUNSWICK, ME
NPI
1417053703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ME CC 766)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
-- LESLIE BARTLETT KLOCKOW L.C.P.C
9 EVERETT ST
BRUNSWICK, ME 04011-2403
Phone number: 207-729-7710
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Mailing Address
-- LESLIE BARTLETT KLOCKOW L.C.P.C
9 EVERETT ST
BRUNSWICK, ME 04011-2403
Phone number: 207-729-7710
Copy
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