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1699273607
WHITE CRESCENT WELLNESS, LLC
PORTLAND, ME
NPI
1699273607
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Entity Type
Organization
Authorized Contact
JULIA HAGEN
Owner/Provider
508-314-3084
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2018-01-24
Last Update Date
2018-01-24
Business Address
WHITE CRESCENT WELLNESS, LLC
222 SAINT JOHN ST STE 314
PORTLAND, ME 04102-3059
Phone number: 508-314-3084
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Mailing Address
WHITE CRESCENT WELLNESS, LLC
222 SAINT JOHN ST STE 314
PORTLAND, ME 04102-3059
Phone number:
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