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Individual

SYDNEY BREAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
70 FIRST RANGEWAY, WATERVILLE, ME 04901-5254
(207) 616-0705
Mailing address
70 FIRST RANGEWAY, WATERVILLE, ME 04901-5254
(207) 616-0705

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC7206
ME

Other

Enumeration date
07/12/2021
Last updated
07/12/2021
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