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1487869210
TRACY W BENNETT
PORTLAND, ME
NPI
1487869210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ME cc1576)
Enumeration Date
2007-05-14
Last Update Date
2021-07-09
Business Address
Mr. TRACY W BENNETT lcpc
55 BELL ST
PORTLAND, ME 04103-3418
Phone number: 207-604-2461
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Mailing Address
Mr. TRACY W BENNETT lcpc
1590 MILTON MILLS RD
ACTON, ME 04001-5008
Phone number: 207-604-2461
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