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1871973263
JASON ROBERT WHITE
ROCKLAND, ME
NPI
1871973263
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME CAC5712)
Enumeration Date
2015-06-01
Last Update Date
2015-06-01
Business Address
Mr. JASON ROBERT WHITE CADC
10 NEVELSON ST
ROCKLAND, ME 04841-5532
Phone number: 207-542-4301
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Mailing Address
Mr. JASON ROBERT WHITE CADC
10 NEVELSON ST
ROCKLAND, ME 04841-5532
Phone number: 207-542-4301
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