Individual
MICHELLE SCONTRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 SUMMER ST, BANGOR, ME 04401-6446
(207) 945-4240
Mailing address
12 ROSS RD, SACO, ME 04072-1539
(207) 282-9570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC13184
ME
1041C0700X
Clinical Social Worker
MC12170
ME
Other
Enumeration date
07/21/2009
Last updated
08/02/2011
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