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1700923448
LESLIE B CONNOLLY
PORTLAND, ME
NPI
1700923448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC10877)
Enumeration Date
2007-01-31
Last Update Date
2016-11-18
Business Address
-- LESLIE B CONNOLLY LCSW
25 MIDDLE ST 5
PORTLAND, ME 04101-4869
Phone number: 207-831-9871
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Mailing Address
-- LESLIE B CONNOLLY LCSW
23 HUNTS POINT RD
CAPE ELIZABETH, ME 04107-2926
Phone number:
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