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1790091973
PHILLIP SMITH
GORHAM, ME
NPI
1790091973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC3739)
Enumeration Date
2010-08-25
Last Update Date
2010-08-25
Business Address
-- PHILLIP SMITH
313 OSSIPEE TRL
GORHAM, ME 04038-2131
Phone number: 207-929-0135
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Mailing Address
-- PHILLIP SMITH
313 OSSIPEE TRL
GORHAM, ME 04038-2131
Phone number: 207-929-0135
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