Organization
SUSAN MCCAW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MCCAW LCPC-C (COUNSELOR)
(207) 341-0028
Entity
Organization
Contact information
Practice address
55 SPRING HILL RD, PALMYRA, ME 04965-3625
(207) 341-0028
Mailing address
55 SPRING HILL RD, PALMYRA, ME 04965-3625
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
XL4550
ME
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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