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Individual

NICHOLAS PFENNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC

Contact information

Practice address
19 WHITNEY AVE, PORTLAND, ME 04102-2521
(207) 332-2991
Mailing address
19 WHITNEY AVE, PORTLAND, ME 04102-2521
(207) 332-2991

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
03/16/2016
Last updated
03/16/2016
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