Individual
JOANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
689 ODLIN RD, BANGOR, ME 04401-6709
(207) 947-6800
Mailing address
689 ODLIN RD, BANGOR, ME 04401-6709
(207) 515-7878
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC8641
ME
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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