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1780989608
JACKIE L BUOTTE
BUCKSPORT, ME
NPI
1780989608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ME XL3529)
Enumeration Date
2011-01-25
Last Update Date
2017-04-04
Business Address
JACKIE L BUOTTE LCPCC
66 BRIDGE ST JEWETT SCHOOL
BUCKSPORT, ME 04416-4087
Phone number: 207-469-2755
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Mailing Address
JACKIE L BUOTTE LCPCC
PO BOX 1729 JEWETT SCHOOL
BUCKSPORT, ME 04416-1729
Phone number: 207-469-2755
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