Individual
MR. MICHAEL JOHN DEMATTEO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6 STATE ST, BANGOR, ME 04401-5112
(207) 942-1944
(207) 942-1944
Mailing address
64 CHURCH STREET, OFFICE 1A, ELLSWORTH, ME 04605
(207) 664-6061
(207) 664-6051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5117
ME
Other
Enumeration date
01/31/2007
Last updated
07/02/2019
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