Individual
CHAD MICHAEL FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
498 ESSEX ST STE 104, BANGOR, ME 04401-3990
(207) 713-8793
Mailing address
498 ESSEX ST, BANGOR, ME 04401-3990
(207) 713-8793
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC24985
ME
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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