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1417966102
SUZANNE SIMON
PORTLAND, ME
NPI
1417966102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ME CC2723)
Enumeration Date
2006-08-05
Last Update Date
2007-07-09
Business Address
-- SUZANNE SIMON M.A.
95 EXCHANGE ST NEW ENGLAND FAMILY INSTITUTE, SUITE 100
PORTLAND, ME 04101
Phone number: 207-871-1000
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Mailing Address
-- SUZANNE SIMON M.A.
67 MAIETTA PARKWAY UNIT 7
SOUTH PORTLAND, ME 04106
Phone number: 207-799-1749
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