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1700903804
MARY T MELQUIST
PORTLAND, ME
NPI
1700903804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: ME PS1034)
Enumeration Date
2007-03-23
Last Update Date
2017-05-03
Business Address
DR. MARY T MELQUIST PHD
899 RIVERSIDE ST
PORTLAND, ME 04103-1070
Phone number: 207-871-1200
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Mailing Address
DR. MARY T MELQUIST PHD
909 MIDDLE ST
BATH, ME 04530-2450
Phone number: 207-615-5871
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