Individual
SUSAN E. SEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 WEEKS ST, HOULTON, ME 04730-1918
(207) 532-1170
(207) 532-1170
Mailing address
4 WEEKS ST, HOULTON, ME 04730-1918
(207) 532-1170
(207) 532-1170
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134890000
—
ME
Enumeration date
06/09/2009
Last updated
06/09/2009
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