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Individual

MARIE MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, CADC

Contact information

Practice address
23 WABANAKI WAY, INDIAN ISLAND, ME 04468-1252
(207) 817-7400
(207) 827-5022
Mailing address
23 WABANAKI WAY, INDIAN ISLAND, ME 04468-1252
(207) 817-7400
(207) 827-5022

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAC3261
ME

Other

Enumeration date
11/06/2006
Last updated
07/08/2007
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