KENNETH SANBORN

RUMFORD, ME
NPI1821373747
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  LC5021)
Enumeration Date2011-10-12
Last Update Date2011-10-12
Business Address
-- KENNETH SANBORN
49 CONGRESS ST
RUMFORD, ME 04276-2014
Phone number: 207-364-7981
Mailing Address
-- KENNETH SANBORN
1155 LISBON ST
LEWISTON, ME 04240-5025
Phone number: 207-783-9141
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