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1790671550
MARK ALLEN
LEWISTON, ME
NPI
1790671550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME lc5002)
Enumeration Date
2025-06-17
Last Update Date
2025-06-17
Business Address
MARK ALLEN LSW, LADC, CCS
18 MOLLISON WAY
LEWISTON, ME 04240-5811
Phone number: 207-312-6860
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Mailing Address
MARK ALLEN LSW, LADC, CCS
18 MOLLISON WAY
LEWISTON, ME 04240-5811
Phone number: 207-837-2247
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