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1760023048
RIVER JOSHUA-DAVID BANKS
LEWISTON, ME
NPI
1760023048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME CAC6990)
Enumeration Date
2019-10-08
Last Update Date
2019-10-08
Business Address
Mr. RIVER JOSHUA-DAVID BANKS CADC
105 MIDDLE ST # 3
LEWISTON, ME 04240-7037
Phone number: 207-440-7922
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Mailing Address
Mr. RIVER JOSHUA-DAVID BANKS CADC
77 OAK ST
LEWISTON, ME 04240-7108
Phone number: 207-509-0000
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