Individual
SOKSAN PAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 SOLOMON DR, GORHAM, ME 04038-1627
(207) 550-1043
Mailing address
744 ROOSEVELT TRL STE 207, WINDHAM, ME 04062-5281
(207) 749-4991
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC21776
ME
Other
Enumeration date
09/27/2018
Last updated
10/02/2024
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