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1841790458
TAMMY MIRANDA
SOUTH PORTLAND, ME
NPI
1841790458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ME XL4898)
Enumeration Date
2018-02-20
Last Update Date
2018-04-25
Business Address
TAMMY MIRANDA LCPC-C, CBIS
1486B BROADWAY
SOUTH PORTLAND, ME 04106-2602
Phone number: 207-602-8660
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Mailing Address
TAMMY MIRANDA LCPC-C, CBIS
33 SCHOOL ST
OLD ORCHARD BEACH, ME 04064-2234
Phone number:
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