Individual
GARY GREENLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
656 STATE ST, BANGOR, ME 04401-5609
(207) 941-4036
(207) 941-4062
Mailing address
103 MARGIN ST, ORONO, ME 04473-3847
(207) 941-4289
(207) 941-4062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1548
ME
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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