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1881986388
KEITH A WENTZEL
AUBURN, ME
NPI
1881986388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ME CC4458)
Enumeration Date
2011-05-03
Last Update Date
2017-05-10
Business Address
-- KEITH A WENTZEL
79 MAIN ST
AUBURN, ME 04210-5811
Phone number: 207-364-7981
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Mailing Address
-- KEITH A WENTZEL
5 DANA AVE
AUBURN, ME 04210-5834
Phone number: 207-240-6972
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