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Individual

MR. DALE A WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DSP, CRMA

Contact information

Practice address
414 TATE RD, CORINTH, ME 04427-3609
(207) 924-4113
Mailing address
414 TATE RD, CORINTH, ME 04427-3609
(207) 924-4113

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
02/14/2021
Last updated
02/14/2021
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