Individual
LAURIE ELLEN MOURADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 COURT ST, BANGOR, ME 04401-4723
(207) 941-0879
(207) 941-0880
Mailing address
77 COURT ST, BANGOR, ME 04401-4723
(207) 941-0879
(207) 941-0880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL7159
ME
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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