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1457740706
LAWRENCE CHARLES GENDREAU
BANGOR, ME
NPI
1457740706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ME LC5334)
Enumeration Date
2015-01-09
Last Update Date
2015-01-09
Business Address
LAWRENCE CHARLES GENDREAU LADC
98 CUMBERLAND ST
BANGOR, ME 04401-5234
Phone number: 207-941-1600
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Mailing Address
LAWRENCE CHARLES GENDREAU LADC
233 ESSEX ST
BANGOR, ME 04401-4001
Phone number: 207-478-2414
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