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Individual

JUSTICE MADDOCKS-WILBUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
317 NORTH ST, ELLSWORTH, ME 04605-3345
(207) 659-5710
Mailing address
317 NORTH ST, ELLSWORTH, ME 04605-3345
(207) 659-5710

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/19/2025
Last updated
03/19/2025
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