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Individual

TAMMY MCCUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
29 FRANKLIN ST, BANGOR, ME 04401-4909
(207) 942-3816
(207) 561-4725
Mailing address
29 FRANKLIN ST, BANGOR, ME 04401-4909
(207) 942-3816
(207) 561-4725

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC4719
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
IN PROCESS
ME
Enumeration date
11/29/2010
Last updated
11/29/2010
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