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1619386976
NATHAN LIZOTTE
SCARBOROUGH, ME
NPI
1619386976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC15002)
Enumeration Date
2014-08-11
Last Update Date
2014-08-11
Business Address
-- NATHAN LIZOTTE LMSW-cc
71 US ROUTE 1
SCARBOROUGH, ME 04074-7173
Phone number: 207-373-0620
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Mailing Address
-- NATHAN LIZOTTE LMSW-cc
401 CUMBERLAND AVE #309
PORTLAND, ME 04101-5831
Phone number: 207-316-2411
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