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1689011926
ELLISHA ELLEN KRUTULESKI
PORTLAND, ME
NPI
1689011926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ME LC15433)
Enumeration Date
2013-05-28
Last Update Date
2015-10-22
Business Address
ELLISHA ELLEN KRUTULESKI LCSW
836 WASHINGTON AVE
PORTLAND, ME 04103-2740
Phone number: 207-939-2127
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Mailing Address
ELLISHA ELLEN KRUTULESKI LCSW
PO BOX 44
WEST KENNEBUNK, ME 04094-0044
Phone number: 207-939-2127
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