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1710647813
GRACE PARK
PORTLAND, ME
NPI
1710647813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ME XL6425)
Enumeration Date
2021-12-30
Last Update Date
2021-12-30
Business Address
GRACE PARK LCPC-CC
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103-2842
Phone number: 207-871-1200
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Mailing Address
GRACE PARK LCPC-CC
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103-2842
Phone number: 207-871-1200
Copy
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