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Individual
MRS. BARBARA ROYAL
Active
Individual
MRS. BARBARA ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
164770000
ME
101Y00000X
Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164770000
MAINE BMS
—
Enumeration date
11/27/2007
Last updated
11/27/2007
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