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1831817493
STACY MARTIN
BANGOR, ME
NPI
1831817493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME AD8162)
Enumeration Date
2022-08-19
Last Update Date
2022-08-19
Business Address
STACY MARTIN ADCA
689 ODLIN RD
BANGOR, ME 04401-6709
Phone number: 207-947-6800
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Mailing Address
STACY MARTIN ADCA
689 ODLIN RD
BANGOR, ME 04401-6709
Phone number: 207-947-6800
Copy
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