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Individual

SEAN STEWART SCOVIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
40 SUMMER ST, COMMUNITY CARE, BANGOR, ME 04401-6446
(297) 945-4240
Mailing address
14 COOMBS ST, BANGOR, BANGOR, ME 04401-5401
(207) 945-3064

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ME511784
ME
1041C0700X
Clinical Social Worker
Primary
ME512754
ME

Other

Enumeration date
01/23/2009
Last updated
01/23/2009
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