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1861723462
ANDREA ELLIS
BRUNSWICK, ME
NPI
1861723462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC12363)
Enumeration Date
2010-01-21
Last Update Date
2011-06-13
Business Address
-- ANDREA ELLIS
14 MAINE ST # 54
BRUNSWICK, ME 04011-2049
Phone number: 800-434-3000
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Mailing Address
-- ANDREA ELLIS
14 MAINE ST # 54
BRUNSWICK, ME 04011-2049
Phone number: 800-434-3000
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