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1467546929
DIANNA GRAY SOO
BANGOR, ME
NPI
1467546929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC4625)
Enumeration Date
2006-10-02
Last Update Date
2013-03-05
Business Address
-- DIANNA GRAY SOO LCSW
77 COURT ST
BANGOR, ME 04401-4723
Phone number: 207-941-0879
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Mailing Address
-- DIANNA GRAY SOO LCSW
77 COURT ST
BANGOR, ME 04401-4723
Phone number: 207-941-0879
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