Individual
BRANDON C DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 WESLEYAN ST, FORT FAIRFIELD, ME 04742-2010
(207) 473-9285
(207) 473-9403
Mailing address
PO BOX 1018, CARIBOU, ME 04736-1018
(207) 498-6431
(207) 492-3181
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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