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1801197827
ELLEN H THEODORES
BRUNSWICK, ME
NPI
1801197827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC14014)
Enumeration Date
2010-11-08
Last Update Date
2013-04-19
Business Address
-- ELLEN H THEODORES LCSW
153B PARK ROWE
BRUNSWICK, ME 04011
Phone number: 207-245-5087
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Mailing Address
-- ELLEN H THEODORES LCSW
153B PARK ROWE
BRUNSWICK, ME 04011
Phone number: 207-245-5087
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