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1881971810
COURTNEY P MISHOU
BREWER, ME
NPI
1881971810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC13310)
Enumeration Date
2011-11-04
Last Update Date
2011-11-04
Business Address
Ms. COURTNEY P MISHOU LMSW-CC
254 STATE ST
BREWER, ME 04412-1519
Phone number: 207-989-2946
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Mailing Address
Ms. COURTNEY P MISHOU LMSW-CC
801 MAIN ROAD
BRADLEY, ME 04411
Phone number: 207-299-0588
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