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Individual

SUSAN MARIE DALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
400 WESTERN AVE, SOUTH PORTLAND, ME 04106-1704
(207) 774-7111
(207) 775-1985
Mailing address
46 COLEBROOK RD, NEW GLOUCESTER, ME 04260-2609
(207) 774-7111
(207) 775-1985

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN24780
ME

Other

Enumeration date
09/04/2025
Last updated
09/04/2025
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