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1952758799
KRISTEN STAKE
PORTLAND, ME
NPI
1952758799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ME XL5311)
Enumeration Date
2016-05-23
Last Update Date
2022-12-20
Business Address
KRISTEN STAKE LCPC
399 FORE ST STE 8
PORTLAND, ME 04101-4388
Phone number: 207-219-0692
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Mailing Address
KRISTEN STAKE LCPC
93 CONCORD ST APT 2
PORTLAND, ME 04103-3175
Phone number: 207-219-0692
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