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1609195379
SUZANNE PUSHARD
PORTLAND, ME
NPI
1609195379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ME LC1457)
Enumeration Date
2010-05-20
Last Update Date
2010-05-20
Business Address
-- SUZANNE PUSHARD LCSW
75 WASHINGTON AVE
PORTLAND, ME 04101-2665
Phone number: 207-772-4110
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Mailing Address
-- SUZANNE PUSHARD LCSW
75 WASHINGTON AVE
PORTLAND, ME 04101-2665
Phone number:
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