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1902917982
MERRILL M. KIDMAN
BIDDEFORD, ME
NPI
1902917982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ME LC3706)
Enumeration Date
2006-08-31
Last Update Date
2012-09-24
Business Address
MERRILL M. KIDMAN LCSW
2 SPRINGBROOK DR
BIDDEFORD, ME 04005-9443
Phone number: 207-282-1500
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Mailing Address
MERRILL M. KIDMAN LCSW
78 ATLANTIC PL
SOUTH PORTLAND, ME 04106-2316
Phone number: 207-842-7701
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