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1780103887
RAYMOND R GORDON
WATERVILLE, ME
NPI
1780103887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LC3774)
Enumeration Date
2017-09-11
Last Update Date
2017-09-11
Business Address
RAYMOND R GORDON LADC
40 AIRPORT RD
WATERVILLE, ME 04901-4524
Phone number: 207-872-7272
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Mailing Address
RAYMOND R GORDON LADC
40 AIRPORT RD
WATERVILLE, ME 04901-4524
Phone number:
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