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1588872881
BRUCE ASHLEY DYER
SOUTH PORTLAND, ME
NPI
1588872881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC3429)
Enumeration Date
2007-05-18
Last Update Date
2007-07-09
Business Address
Dr. BRUCE ASHLEY DYER L.A.D.C.
650 MAIN ST SUITE 103
SOUTH PORTLAND, ME 04106-5448
Phone number: 207-774-4564
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Mailing Address
Dr. BRUCE ASHLEY DYER L.A.D.C.
99 OAKLAND AVE
WESTBROOK, ME 04092-4027
Phone number: 207-854-1009
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