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Individual

ALFRED H. VANDINE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC-C

Contact information

Practice address
313 ENFIELD ROAD, LINCOLN, ME 04457
(207) 794-3554
(207) 794-3814
Mailing address
90 WATER ST, MILLINOCKET, ME 04462-1534
(207) 723-8236

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3224
ME

Other

Enumeration date
06/08/2007
Last updated
07/09/2007
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