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1972822211
ELLEN LOUISE KORNETSKY
PORTLAND, ME
NPI
1972822211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ME LC5740)
Enumeration Date
2010-05-26
Last Update Date
2010-05-26
Business Address
Ms. ELLEN LOUISE KORNETSKY M.S.W., L.C.S.W.
75 WASHINGTON AVE
PORTLAND, ME 04101-2665
Phone number: 207-772-4110
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Mailing Address
Ms. ELLEN LOUISE KORNETSKY M.S.W., L.C.S.W.
75 WASHINGTON AVE
PORTLAND, ME 04101-2665
Phone number: 207-772-4110
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