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1922212315
HETTE INGRID VELLENGA
SKOWHEGAN, ME
NPI
1922212315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ME LSX11049)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
HETTE INGRID VELLENGA LSWC
5 COMMERCE DR
SKOWHEGAN, ME 04976-4823
Phone number: 207-474-8311
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Mailing Address
HETTE INGRID VELLENGA LSWC
5 COMMERCE DR
SKOWHEGAN, ME 04976-4823
Phone number: 207-474-8311
Copy
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