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Individual

SUSAN A FRENCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
235 MAIN ST, NORWAY, ME 04268-5943
(207) 739-2644
(207) 739-2467
Mailing address
235 MAIN ST, NORWAY, ME 04268-5943
(207) 739-2644
(207) 739-2467

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3860
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010288363
TAX ID
ME
05
432456599
ME
Enumeration date
05/10/2007
Last updated
03/02/2010
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