Individual
MEGAN M ANGELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14 CORNERSTONE DR, BRUNSWICK, ME 04011-7483
(207) 756-3067
Mailing address
14 CORNERSTONE DR, BRUNSWICK, ME 04011-7483
(207) 756-3067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC11642
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433005399
—
ME
Enumeration date
08/13/2008
Last updated
05/17/2021
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