Individual
MICHAEL GARY BOARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW-CC
Contact information
Practice address
110 MAIN ST, SUITE 1200, SACO, ME 04072-3509
(207) 618-9522
Mailing address
110 MAIN ST, SUITE 1200, SACO, ME 04072-3509
(207) 618-9522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC16455
ME
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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