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1417354580
ELIANNA LANTZ RICCIARDI
SOUTH PORTLAND, ME
NPI
1417354580
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Former Name
ELIANNA LANTZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC15154)
Enumeration Date
2014-12-04
Last Update Date
2020-12-08
Business Address
ELIANNA LANTZ RICCIARDI LCSW
100 FODEN RD, EAST SUITE 100
SOUTH PORTLAND, ME 04106
Phone number: 207-874-1489
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Mailing Address
ELIANNA LANTZ RICCIARDI LCSW
100 GANNETT DR STE C
SOUTH PORTLAND, ME 04106-5900
Phone number: 207-828-0361
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