Individual
MICHELLE S PARADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
42 CEDAR ST, BANGOR, ME 04401-6433
(207) 947-0366
(207) 942-4350
Mailing address
42 CEDAR ST, BANGOR, ME 04401-6433
(207) 947-0366
(207) 942-4350
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MC12173
ME
1041C0700X
Clinical Social Worker
Primary
LC13598
ME
Other
Enumeration date
01/07/2010
Last updated
09/07/2012
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