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Organization

MAINE STREET MEDICINE WORKS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA JANE MAINGUY LCSW (MANAGING DIRECTOR)
(802) 451-9681
Entity
Organization

Contact information

Practice address
157 PARK ST STE 32, BANGOR, ME 04401-5093
(802) 451-9681
(207) 406-5354
Mailing address
PO BOX 277, ORONO, ME 04473-0277
(802) 451-9681
(207) 406-5354

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
202D00000X
Integrative Medicine Physician
207Q00000X
Family Medicine Physician
Primary
2084P0800X
Psychiatry Physician

Other

Enumeration date
05/17/2025
Last updated
05/17/2025
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