Individual
MR. S. CRAIG MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
42 CEDAR ST, BANGOR, ME 04401-6433
(207) 947-0366
Mailing address
PO BOX 522, ELLSWORTH, ME 04605-0522
(207) 664-1994
(207) 664-1994
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4801
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277050099
—
ME
Enumeration date
05/18/2007
Last updated
02/22/2011
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