Individual
SHERRY C MAUZEROLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
71 US ROUTE 1 STE E, SCARBOROUGH, ME 04074-7168
(207) 773-9931
(207) 879-5576
Mailing address
71 US ROUTE 1 STE E, SCARBOROUGH, ME 04074-7168
(207) 773-9931
(207) 879-5576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC5128
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010473057
—
ME
Enumeration date
09/29/2016
Last updated
09/29/2016
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