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1972076065
KEITH MCDONALD
LEWISTON, ME
NPI
1972076065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME CAC6205)
Enumeration Date
2019-01-10
Last Update Date
2019-01-10
Business Address
KEITH MCDONALD
88 OXFORD ST
LEWISTON, ME 04240-7825
Phone number: 207-795-0149
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Mailing Address
KEITH MCDONALD
88 OXFORD ST
LEWISTON, ME 04240-7825
Phone number: 207-795-0149
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