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Individual

MR. SCOTT ANTHONY MCMICHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
127 PALMER ST, CALAIS, ME 04619-1300
(207) 454-0387
(207) 454-0232
Mailing address
127 PALMER ST, CALAIS, ME 04619-1300
(207) 454-0387
(207) 454-0232

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3372
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LC3372
LADC
ME
Enumeration date
03/02/2008
Last updated
12/30/2010
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