Individual
LUCUS TEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW-CC
Contact information
Practice address
77 COURT ST, BANGOR, ME 04401-4723
(207) 941-0879
Mailing address
77 COURT ST, BANGOR, ME 04401-4723
(207) 941-0879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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