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1588812630
DAVID EDWARD WHITESIDE
BRUNSWICK, ME
NPI
1588812630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC4627)
Enumeration Date
2008-09-03
Last Update Date
2008-09-03
Business Address
Mr. DAVID EDWARD WHITESIDE MSW, Ph.D.
39 BARIBEAU DR
BRUNSWICK, ME 04011-3242
Phone number: 207-729-7105
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Mailing Address
Mr. DAVID EDWARD WHITESIDE MSW, Ph.D.
39 BARIBEAU DR
BRUNSWICK, ME 04011-3242
Phone number: 207-729-7105
Copy
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