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1922717313
EDWIN I VAN BIBBER-ORR
SOUTH PORTLAND, ME
NPI
1922717313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ME XL6833)
Enumeration Date
2022-11-15
Last Update Date
2022-11-15
Business Address
EDWIN I VAN BIBBER-ORR LCPC-c
967 BROADWAY STE 2
SOUTH PORTLAND, ME 04106-4263
Phone number: 802-349-3909
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Mailing Address
EDWIN I VAN BIBBER-ORR LCPC-c
89 ANDERSON ST UNIT 406
PORTLAND, ME 04101-6804
Phone number: 802-349-3909
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