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1811273063
KIMBERLY S. GRANT
LEWISTON, ME
NPI
1811273063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ME CAC4995)
Enumeration Date
2011-11-01
Last Update Date
2011-11-01
Business Address
MRS. KIMBERLY S. GRANT CADC
276 MAIN ST
LEWISTON, ME 04240-7024
Phone number: 207-782-3386
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Mailing Address
MRS. KIMBERLY S. GRANT CADC
3 FOREST CIR # 2
PORTLAND, ME 04103-1124
Phone number: 207-797-8389
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