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1720373327
JOSEPH C FARESE
BANGOR, ME
NPI
1720373327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC4605)
Enumeration Date
2011-06-13
Last Update Date
2011-06-13
Business Address
-- JOSEPH C FARESE LADC
61 MAIN ST
BANGOR, ME 04401-6397
Phone number: 207-341-5844
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Mailing Address
-- JOSEPH C FARESE LADC
42 WESSNETTE DR
HAMPDEN, ME 04444-3016
Phone number:
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