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1477611861
CANDANCE KINGSLEY
SOUTH PORTLAND, ME
NPI
1477611861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC1042)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
-- CANDANCE KINGSLEY MSW
10 BOWERS ST
SOUTH PORTLAND, ME 04106-3907
Phone number: 207-767-0920
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Mailing Address
-- CANDANCE KINGSLEY MSW
10 BOWERS ST
SOUTH PORTLAND, ME 04106-3907
Phone number: 207-767-0920
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