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Individual

MS. SUSAN ESTHER PARR

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
222 ST JOHN STREET, SUITE 114, PORTLAND, ME 04102
(207) 807-3722
Mailing address
1005 HIGHLAND AVENUE, SOUTH PORTLAND, ME 04106
(207) 799-7761

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
CC2089
ME

Other

Enumeration date
04/05/2006
Last updated
07/08/2007
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