Individual
MR. PHILIP ALAN WALTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CSW-IP
Contact information
Practice address
656 STATE ST, BANGOR, ME 04401-5609
(207) 941-4036
(207) 941-4062
Mailing address
656 STATE ST, BANGOR, ME 04401-5609
(207) 941-4036
(207) 941-4062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1596
ME
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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