Individual
ADDISON GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OT/L
Contact information
Practice address
268 STILLWATER AVE, BANGOR, ME 04401-3945
(207) 973-6100
Mailing address
268 STILLWATER AVE, BANGOR, ME 04401-3945
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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