Individual
MICHELE I HARTFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
73 PINE ST, BANGOR, ME 04401-6643
(207) 941-8007
Mailing address
73 PINE ST, BANGOR, ME 04401-6643
(207) 941-8007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6036
ME
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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