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1518017243
KATHLEEN M FORTIER
BANGOR, ME
NPI
1518017243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ME LCPC CC70)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
KATHLEEN M FORTIER LCPC
268 STILLWATER AVENUE ACADIA HOSPITAL CORP
BANGOR, ME 04401
Phone number: 207-973-6100
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Mailing Address
KATHLEEN M FORTIER LCPC
PO BOX 422 ACADIA HOSPITAL CORP
BANGOR, ME 04402-0422
Phone number: 207-973-6100
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