Individual
HOLLY L HAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW-C
Contact information
Practice address
179 INDIANA AVENUE, BANGOR, ME 04401
(207) 945-5247
(207) 947-0435
Mailing address
1048 UNION ST, SUITE 5, BANGOR, ME 04401-8600
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSX11219
ME
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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