Individual
ALANA BICKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 TINK DR, GORHAM, ME 04038-1343
(207) 615-9830
Mailing address
49 TINK DR, GORHAM, ME 04038-1343
(207) 615-9830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAC5277
ME
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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