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1538298393
KIMBERLY JO COVILLE
PORTLAND, ME
NPI
1538298393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ME LC6057)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Ms. KIMBERLY JO COVILLE LCSW
15 MELLEN ST
PORTLAND, ME 04101-2109
Phone number: 207-772-6111
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Mailing Address
Ms. KIMBERLY JO COVILLE LCSW
15 MELLEN ST
PORTLAND, ME 04101-2109
Phone number: 207-772-6111
Copy
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