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Individual

ELISABETH SANBORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
615 CONGRESS ST STE 416, PORTLAND, ME 04101-5355
(207) 780-8999
(207) 615-0018
Mailing address
615 CONGRESS ST STE 416, PORTLAND, ME 04101-5355
(207) 780-8999
(207) 615-0018

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC8996
ME

Other

Enumeration date
09/11/2023
Last updated
01/27/2025
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