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Individual

JUSTIN BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
510 MAIN ST. GORHAM, ME 04038, GORHAM, ME 04038
(207) 200-8661
(207) 222-0066
Mailing address
510 MAIN ST. GORHAM, ME 04038, GORHAM, ME 04038
(207) 200-8661
(207) 222-0066

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC17463
ME
1041C0700X
Clinical Social Worker
Primary
LC19278

Other

Enumeration date
09/09/2019
Last updated
05/21/2021
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