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1699336271
COLLEEN E CLARK
PORTLAND, ME
NPI
1699336271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ME XL5223)
Enumeration Date
2019-06-25
Last Update Date
2019-06-25
Business Address
COLLEEN E CLARK LCPC/c
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103-2842
Phone number: 207-871-1200
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Mailing Address
COLLEEN E CLARK LCPC/c
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103-2842
Phone number: 207-871-1200
Copy
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