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Individual

MICHELLE KIMBALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
557 HAMMOND ST, BANGOR, ME 04401-4511
(207) 973-0505
Mailing address
20 ROBINHOOD DR, HERMON, ME 04401-0600
(207) 478-6992

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC6779
ME

Other

Enumeration date
12/28/2018
Last updated
12/28/2018
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