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1932512159
AMANDA MOHN
PORTLAND, ME
NPI
1932512159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-06-05
Last Update Date
2014-06-05
Business Address
-- AMANDA MOHN
2300 CONGRESS ST
PORTLAND, ME 04102-1908
Phone number: 207-221-2292
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Mailing Address
-- AMANDA MOHN
290B GRAY RD
WINDHAM, ME 04062-4284
Phone number: 207-523-2837
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