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1740566744
SAMANTHA FAITH KOPACK
PORTLAND, ME
NPI
1740566744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-10-24
Last Update Date
2023-06-13
Business Address
SAMANTHA FAITH KOPACK LCPC
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103-2842
Phone number: 207-871-1200
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Mailing Address
SAMANTHA FAITH KOPACK LCPC
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103-2842
Phone number: 207-871-1200
Copy
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