Individual
MR. ALFRED L BRODEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
81 MAIN ST BOX 16, SUITE 102, AUBURN, ME 04210-5883
(207) 777-1078
Mailing address
83 SIXTH ST, AUBURN, ME 04210-6804
(207) 784-3907
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC2135
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017270
BCBS
ME
01
—
461514000
MAGELLAN
ME
Enumeration date
11/07/2005
Last updated
07/08/2007
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