Organization
KIDSPEACE NEW ENGLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE LYNN KING LCPC-C (CLINICIAN)
(207) 941-1414
Entity
Organization
Contact information
Practice address
444 STILLWATER AVE, SUITE 204, BANGOR, ME 04401-3521
(207) 941-1414
(207) 947-6278
Mailing address
444 STILLWATER AVE, SUITE 204, BANGOR, ME 04401-3521
(207) 941-1414
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
XL4436
ME
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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