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1700914462
TRISHA ELLIS
PORTLAND, ME
NPI
1700914462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC12055)
Enumeration Date
2007-03-02
Last Update Date
2010-12-08
Business Address
-- TRISHA ELLIS LCSW
222 SAINT JOHN ST STE 130
PORTLAND, ME 04102-3055
Phone number: 207-651-3428
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Mailing Address
-- TRISHA ELLIS LCSW
43 LAWRENCE ST
WESTBROOK, ME 04092-4251
Phone number: 207-651-3428
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