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1659310142
JENNIFER SMALL
NORWAY, ME
NPI
1659310142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC2466)
Enumeration Date
2006-06-06
Last Update Date
2019-10-28
Business Address
JENNIFER SMALL LADC, CCS
235 MAIN ST
NORWAY, ME 04268-5943
Phone number: 207-739-2644
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Mailing Address
JENNIFER SMALL LADC, CCS
235 MAIN ST
NORWAY, ME 04268-5943
Phone number: 207-739-2644
Copy
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