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MISS ELAINE C SUZOR

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1760684484

Individual Registrant:
MISS ELAINE C SUZOR 
Gender: F
Sole Proprietor

Location and contact information for practice:
11 FERNWOOD RD.  DEDHAM, ME 04429 US
Tel: 207-843-5649  Fax: 207-843-7429

Contact information for business:
PO BOX 289  HOLDEN, ME 04429-0289 US
Tel: 207-843-5649  Fax: 207-843-7429

Registration Information:
NPI: 1760684484
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator
ME215875

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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