Individual
DANIELLE LEE GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW-C
Contact information
Practice address
304 HANCOCK ST STE 2C, BANGOR, ME 04401-6573
(207) 989-5701
(207) 989-5720
Mailing address
304 HANCOCK ST STE 2C, BANGOR, ME 04401-6573
(207) 989-5701
(207) 989-5720
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
LSX11070
ME
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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