Individual
SUSAN DYER STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 PARK ST STE 302, LEWISTON, ME 04240-7195
(207) 330-1080
Mailing address
35 MAIN ST, LISBON FALLS, ME 04252-1506
(207) 217-0103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC5855
ME
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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