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Individual

CHAD CRANDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MHRT-CSP

Contact information

Practice address
43 HATCH DR STE 210, CARIBOU, ME 04736
(207) 498-6431
(207) 492-3181
Mailing address
43 HATCH DR STE 210, CARIBOU, ME 04736-2039
(207) 498-6431
(207) 492-3181

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710366513
ME
Enumeration date
05/26/2015
Last updated
06/07/2018
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