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1508471095
TIGHE BLACKADAR
BRIDGTON, ME
NPI
1508471095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC17781)
Enumeration Date
2020-09-10
Last Update Date
2024-10-15
Business Address
Mr. TIGHE BLACKADAR MSW, LCSW
41 DEPOT ST STE 204
BRIDGTON, ME 04009-2298
Phone number: 207-241-4332
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Mailing Address
Mr. TIGHE BLACKADAR MSW, LCSW
41 DEPOT ST STE 204
BRIDGTON, ME 04009-2298
Phone number: 207-241-4332
Copy
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