Provider First Line Business Practice Location Address:
BREWER HIGH SCHOOL
Provider Second Line Business Practice Location Address:
79 PARKWAY SOUTH
Provider Business Practice Location Address City Name:
BREWER
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-989-4140
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/26/2007