Individual
ALEX T CANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW-CC
Contact information
Practice address
35 STATE HOSPITAL DR, BANGOR, ME 04401-8816
(207) 623-8411
Mailing address
203 WESTERN AVE APT 5, HAMPDEN, ME 04444-1431
(207) 249-3034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC22495
ME
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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