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1992981286
MARIA D LONG
PORTLAND, ME
NPI
1992981286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC6342)
Enumeration Date
2008-01-16
Last Update Date
2011-04-05
Business Address
-- MARIA D LONG LCSW
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-4807
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Mailing Address
-- MARIA D LONG LCSW
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-4807
Copy
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