Individual
MR. RICHARD D. BISSELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
42 CEDAR ST, BANGOR, ME 04401-6433
(207) 947-0366
(207) 942-4350
Mailing address
223 CLARK HILL RD, HOLDEN, ME 04429-7250
(207) 843-0510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10001
ME
Other
Enumeration date
04/06/2007
Last updated
07/09/2007
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