Individual
MS. BECKY-JO ANN CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHRT-C
Contact information
Practice address
273 HAMMOND ST, BANGOR, ME 04401-4610
(207) 217-6710
(207) 217-6712
Mailing address
59 FOTHINGGILL RD, GREENBUSH, ME 04418-3344
(207) 659-5277
(207) 217-6712
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
MHRT-C
ME
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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