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1770179046
CHAZ GOKAS
SOUTH PORTLAND, ME
NPI
1770179046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC5387)
Enumeration Date
2020-12-21
Last Update Date
2020-12-21
Business Address
CHAZ GOKAS LADC
525 MAIN ST STE E
SOUTH PORTLAND, ME 04106-5457
Phone number: 207-767-0991
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Mailing Address
CHAZ GOKAS LADC
525 MAIN ST STE E
SOUTH PORTLAND, ME 04106-5457
Phone number: 207-767-0991
Copy
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