Individual
MS. TYLER ANTONIA CAPONE DUBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LMSW-CC
Contact information
Practice address
700 MOUNT HOPE AVE STE 320, BANGOR, ME 04401-5680
(207) 941-2952
(207) 941-2955
Mailing address
50 PINE ST, ORONO, ME 04473-4054
(207) 631-1449
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC23683
ME
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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