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Individual

STACY ANN MINKOWSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4 PARK ST, LEWISTON, ME 04240-7172
(207) 784-0922
Mailing address
36 MAPLE RIDGE DR, MONMOUTH, ME 04259-7330
(207) 754-9883

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC5722
ME

Other

Enumeration date
11/12/2014
Last updated
11/12/2014
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