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Individual

EDITH A. DOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHRT-C & CADC

Contact information

Practice address
88 FOX ST, MADAWASKA, ME 04756-1352
(207) 728-6341
(207) 728-7762
Mailing address
88 FOX ST, MADAWASKA, ME 04756-1352
(207) 728-6341
(207) 728-7762

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC4062
ME
101YM0800X
Mental Health Counselor
Primary
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103850000
MAINECARE
ME
Enumeration date
09/19/2007
Last updated
06/25/2008
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