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1700080579
JACQUELYN CONWAY DODGE
ELLSWORTH, ME
NPI
1700080579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME 1775)
Enumeration Date
2007-06-13
Last Update Date
2007-07-08
Business Address
Ms. JACQUELYN CONWAY DODGE LCSW
198 MAIN ST
ELLSWORTH, ME 04605-1941
Phone number: 207-667-9278
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Mailing Address
Ms. JACQUELYN CONWAY DODGE LCSW
1002 BAYSIDE RD
TRENTON, ME 04605-6513
Phone number: 207-667-9278
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