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1669495974
RANDALL R MELVIN
PORTLAND, ME
NPI
1669495974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC4787)
Enumeration Date
2006-07-26
Last Update Date
2008-07-08
Business Address
-- RANDALL R MELVIN LCSW BCD
465 CONGRESS ST SUITE 700
PORTLAND, ME 04101-3528
Phone number: 207-773-2828
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Mailing Address
-- RANDALL R MELVIN LCSW BCD
465 CONGRESS ST SUITE 700
PORTLAND, ME 04101-3528
Phone number: 207-773-2828
Copy
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