Individual
MAUREEN A SYLVAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW CADC
Contact information
Practice address
253-255 HAMMOND ST., BANGOR, ME 04401
(207) 941-1612
(207) 941-1634
Mailing address
98 CUMBERLAND ST, BANGOR, ME 04401-5234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC3734
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432073499
—
ME
Enumeration date
10/03/2006
Last updated
08/07/2009
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