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1417198664
ELAINE C THERRIAULT
LEWISTON, ME
NPI
1417198664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ME LC1349)
Enumeration Date
2009-03-18
Last Update Date
2009-03-18
Business Address
ELAINE C THERRIAULT
1155 LISBON ST
LEWISTON, ME 04240-5025
Phone number: 207-783-9141
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Mailing Address
ELAINE C THERRIAULT
1155 LISBON ST
LEWISTON, ME 04240-5025
Phone number: 207-783-9141
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