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Individual

WALT S. WHITMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
144 HIGH ST STE 1, FARMINGTON, ME 04938-1997
(207) 778-3556
(207) 778-3558
Mailing address
18 MOLLISON WAY, LEWISTON, ME 04240-5811

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC6848
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
09/19/2013
Last updated
11/20/2019
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