Individual
DR. HEATHER L MACDUFFIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW
Contact information
Practice address
444 STILLWATER AVE STE 103, BANGOR, ME 04401
(207) 307-7886
Mailing address
444 STILLWATER AVE STE 103, BANGOR, ME 04401-3500
(207) 307-7886
(207) 433-1241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6804
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2469600000
—
ME
Enumeration date
12/08/2005
Last updated
07/09/2018
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