Individual
MRS. MICHELLE MARIE PATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
744 ROOSEVELT TRL, WINDHAM, ME 04062-5282
(207) 893-4623
Mailing address
744 ROOSEVELT TRAIL, WINDHAM, ME 04062
(207) 893-4623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC3067
ME
Other
Enumeration date
08/31/2006
Last updated
07/24/2007
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