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1467518415
JILL D. MCCOLLUM
SOUTH PORTLAND, ME
NPI
1467518415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ME CC2230)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
Dr. JILL D. MCCOLLUM PhD - LCPC
1396 BROADWAY
SOUTH PORTLAND, ME 04106-4111
Phone number: 207-799-9600
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Mailing Address
Dr. JILL D. MCCOLLUM PhD - LCPC
650 ISLAND AVE
LONG ISLAND, ME 04050-3311
Phone number: 207-799-9600
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