Individual
MICHAEL EUGENE BIBRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.A.D.C.
Contact information
Practice address
8 OLD MILL ROAD, ELLSWORTH, ME 04605
(207) 667-3210
Mailing address
P.O. BOX 958, 8 OLD MILL ROAD, ELLSWORTH, ME 04605
(207) 667-3210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC4667
ME
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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