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1740609379
TRACY HOWE
PORTLAND, ME
NPI
1740609379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ME CAC4233)
Enumeration Date
2014-04-10
Last Update Date
2014-04-10
Business Address
TRACY HOWE CADC
65 INDIA ST
PORTLAND, ME 04101-4209
Phone number: 207-775-4790
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Mailing Address
TRACY HOWE CADC
65 INDIA ST
PORTLAND, ME 04101-4209
Phone number: 207-775-4790
Copy
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