EDWARD BURGESS

LEWISTON, ME
NPI1508313321
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  cac5865)
Enumeration Date2016-09-09
Last Update Date2016-09-09
Business Address
-- EDWARD BURGESS CADC
1525 LISBON ST
LEWISTON, ME 04240-3515
Phone number: 207-241-7959
Mailing Address
-- EDWARD BURGESS CADC
1525 LISBON ST
LEWISTON, ME 04240-3515
Phone number: 207-241-7959
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