Individual
MR. BRENT STEPHEN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRC, LSW
Contact information
Practice address
166 BROADWAY, BANGOR, ME 04401-5208
(207) 947-9630
(207) 947-9633
Mailing address
166 BROADWAY, BANGOR, ME 04401-5208
(207) 947-9630
(207) 947-9633
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
00107933
—
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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