Individual
MISS ELAINE C SUZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 FERNWOOD RD., DEDHAM, ME 04429
(207) 843-5649
(207) 843-7429
Mailing address
PO BOX 289, HOLDEN, ME 04429-0289
(207) 843-5649
(207) 843-7429
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
215875
ME
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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