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1689895351
ELLEN LEE HEDLUND
SOUTH PORTLAND, ME
NPI
1689895351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: ME 0435276)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
MS. ELLEN LEE HEDLUND M.S.W.
148 BREAKWATER DR UNIT 408
SOUTH PORTLAND, ME 04106-1600
Phone number: 978-549-3789
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Mailing Address
MS. ELLEN LEE HEDLUND M.S.W.
148 BREAKWATER DR UNIT 408
SOUTH PORTLAND, ME 04106-1600
Phone number: 978-549-3789
Copy
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