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1659942654
MATTHEW JEFFREY HEROUX
WATERVILLE, ME
NPI
1659942654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC8160)
Enumeration Date
2021-07-09
Last Update Date
2023-02-16
Business Address
MATTHEW JEFFREY HEROUX LADC
70 FIRST RANGEWAY
WATERVILLE, ME 04901-5254
Phone number: 207-616-0705
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Mailing Address
MATTHEW JEFFREY HEROUX LADC
265 SWAN LAKE AVE
BELFAST, ME 04915-7037
Phone number: 207-306-9250
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