Individual
TERRY L MELANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
242 BRUNSWICK ST, OLD TOWN, ME 04468
(207) 945-5247
(207) 947-0435
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3963
ME
Other
Enumeration date
09/13/2006
Last updated
08/11/2010
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