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1467554253
GARY GREENLAW
BANGOR, ME
NPI
1467554253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ME LC1548)
Enumeration Date
2006-09-02
Last Update Date
2007-07-08
Business Address
GARY GREENLAW LICSW
656 STATE ST
BANGOR, ME 04401-5609
Phone number: 207-941-4036
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Mailing Address
GARY GREENLAW LICSW
103 MARGIN ST
ORONO, ME 04473-3847
Phone number: 207-941-4289
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