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Individual

JOLEEN LADD MCAVOY I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BHP

Contact information

Practice address
11 MILL ST, HOULTON, ME 04730-1877
(207) 532-6523
(207) 532-3873
Mailing address
11 MILL ST, HOULTON, ME 04730-1877
(207) 532-6523
(207) 532-3873

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790186781
ME
Enumeration date
09/09/2014
Last updated
09/16/2014
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