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1962125179
KENNETH OSCAR TAYLOR
SOUTH PORTLAND, ME
NPI
1962125179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME ad7993)
Enumeration Date
2022-09-22
Last Update Date
2022-09-22
Business Address
KENNETH OSCAR TAYLOR
400 WESTERN AVE
SOUTH PORTLAND, ME 04106-1704
Phone number: 120-777-4711
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Mailing Address
KENNETH OSCAR TAYLOR
496 BUXTON RD
SACO, ME 04072-9511
Phone number: 207-286-5489
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