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1578958294
JADA L KOUBA
PORTLAND, ME
NPI
1578958294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ME XL4332)
Enumeration Date
2015-03-31
Last Update Date
2015-03-31
Business Address
-- JADA L KOUBA LCPC-C
1321 WASHINGTON AVE SUITE 312
PORTLAND, ME 04103-3636
Phone number: 207-577-6037
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Mailing Address
-- JADA L KOUBA LCPC-C
21 BAILEY FARM RD
FREEPORT, ME 04032-5808
Phone number:
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