Individual
MRS. DEBORAH H. DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
RR 1 BOX 339A, MACHIAS, ME 04654-9737
(207) 255-8199
Mailing address
RR 1 BOX 339A, MACHIAS, ME 04654-9737
(207) 255-8199
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3211
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412260099
—
ME
Enumeration date
11/19/2008
Last updated
11/26/2008
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