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1508169244
JOHN W LORD
DAMARISCOTTA, ME
NPI
1508169244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC596)
Enumeration Date
2010-12-20
Last Update Date
2010-12-20
Business Address
-- JOHN W LORD LADC
73 BISCAY RD
DAMARISCOTTA, ME 04543-0000
Phone number: 207-576-4021
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Mailing Address
-- JOHN W LORD LADC
PO BOX 502
BERWICK, ME 03901-0502
Phone number: 603-509-3514
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