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1427408012
JACLYN D'ANNIBALE
SOUTH PORTLAND, ME
NPI
1427408012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC15896)
Enumeration Date
2016-06-15
Last Update Date
2016-06-15
Business Address
-- JACLYN D'ANNIBALE
25 MORSE ST
SOUTH PORTLAND, ME 04106-2731
Phone number: 860-977-3632
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Mailing Address
-- JACLYN D'ANNIBALE
25 MORSE ST
SOUTH PORTLAND, ME 04106-2731
Phone number: 860-977-3632
Copy
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