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Individual

SAMARA S ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OQMHP-C

Contact information

Practice address
43 HATCH DR STE 310, CARIBOU, ME 04736-2002
(207) 493-3361
(207) 492-4889
Mailing address
180 ACADEMY ST STE 3, PRESQUE ISLE, ME 04769-3183
(207) 554-2352
(207) 554-2351

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/12/2018
Last updated
02/02/2021
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