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1417095795
THERESA C ANDERSON
PORTLAND, ME
NPI
1417095795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ME CC3177)
Enumeration Date
2007-02-01
Last Update Date
2014-09-04
Business Address
-- THERESA C ANDERSON LCPC
37 MELODY LN
PORTLAND, ME 04103-2814
Phone number: 617-947-5889
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Mailing Address
-- THERESA C ANDERSON LCPC
37 MELODY LN
PORTLAND, ME 04103-2814
Phone number: 207-482-3850
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