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1780367292
JORDAN JOHN LORENZ
PORTLAND, ME
NPI
1780367292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ME MC22596)
Enumeration Date
2023-08-10
Last Update Date
2023-08-10
Business Address
Mr. JORDAN JOHN LORENZ LMSW-CC
175 FORE RIVER PKWY
PORTLAND, ME 04102-2779
Phone number: 207-822-2579
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Mailing Address
Mr. JORDAN JOHN LORENZ LMSW-CC
175 FORE RIVER PKWY
PORTLAND, ME 04102-2779
Phone number:
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