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Individual

LAWRENCE CHARLES GENDREAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
98 CUMBERLAND ST, BANGOR, ME 04401-5234
(207) 941-1600
(207) 941-1608
Mailing address
233 ESSEX ST, BANGOR, ME 04401-4001
(207) 478-2414

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC5334
ME

Other

Enumeration date
01/09/2015
Last updated
01/09/2015
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