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Individual

DR. MARK WILLIAM STEEGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYCHOLOGIST, BCBA

Contact information

Practice address
800 CENTER ST, AUBURN, ME 04210-6404
(207) 782-2726
Mailing address
2 BELMONT TER, GORHAM, ME 04038-1436
(207) 222-2402

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-3004
ME
103T00000X
Psychologist
PS698
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
331170099
ME
Enumeration date
06/08/2010
Last updated
06/08/2010
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