THEODORA HACKER

PORTLAND, ME
NPI1700016326
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC8425)
Enumeration Date2009-07-16
Last Update Date2015-01-23
Business Address
-- THEODORA HACKER
165 LANCASTER ST
PORTLAND, ME 04101-2406
Phone number: 207-874-1030
Mailing Address
-- THEODORA HACKER
78 ATLANTIC PL
SOUTH PORTLAND, ME 04106-2316
Phone number: 207-661-6654
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