Individual
GLENN JOHN SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 ALFRED ST, BIDDEFORD, ME 04005-3102
(207) 216-2637
Mailing address
314 ALFRED ST, BIDDEFORD, ME 04005-3102
(207) 216-2637
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
MC17856
ME
Other
Enumeration date
02/05/2019
Last updated
03/05/2020
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