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1760138739
JOHN DAVID MLCUCH
BANGOR, ME
NPI
1760138739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ME XL6545)
Enumeration Date
2022-02-28
Last Update Date
2022-02-28
Business Address
JOHN DAVID MLCUCH LCPC-C
557 HAMMOND ST
BANGOR, ME 04401-4511
Phone number: 207-973-0505
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Mailing Address
JOHN DAVID MLCUCH LCPC-C
499 BROADWAY # 329
BANGOR, ME 04401-3460
Phone number:
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