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1821724105
LYDIA J SACK
PORTLAND, ME
NPI
1821724105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2022-07-28
Last Update Date
2022-07-28
Business Address
LYDIA J SACK
75 W COMMERCIAL ST
PORTLAND, ME 04101-4797
Phone number: 207-874-1065
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Mailing Address
LYDIA J SACK
33 FOX ST
PORTLAND, ME 04101-2538
Phone number: 603-918-1799
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