Individual
MS. MARIA MAGDALENA BAEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
15 STATE ST, SUITE 301, BANGOR, ME 04401-5103
(207) 942-2230
Mailing address
15 STATE ST, SUITE 301, BANGOR, ME 04401-5103
(207) 942-2230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC675
ME
Other
Enumeration date
07/26/2006
Last updated
02/24/2016
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