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1518321181
LISA MARIE OUELLETTE
BANGOR, ME
NPI
1518321181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC15977)
Enumeration Date
2016-04-11
Last Update Date
2016-04-11
Business Address
Ms. LISA MARIE OUELLETTE LMSW-CC
30 SUMMER ST SUITE 5
BANGOR, ME 04401-6467
Phone number: 207-561-9533
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Mailing Address
Ms. LISA MARIE OUELLETTE LMSW-CC
30 SUMMER ST SUITE 5
BANGOR, ME 04401-6467
Phone number: 207-561-9533
Copy
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