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1467414458
KENNETH R. SMITH
SACO, ME
NPI
1467414458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ME CC1622)
Enumeration Date
2006-04-05
Last Update Date
2007-07-08
Business Address
-- KENNETH R. SMITH LCPC
50 MOODY ST
SACO, ME 04072-1536
Phone number: 207-294-4657
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Mailing Address
-- KENNETH R. SMITH LCPC
48 TREMAINE ST
PORTLAND, ME 04103-3308
Phone number: 207-772-1542
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