Individual
MRS. SANDY K SITES CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
77 COURT STREET, BANGOR, ME 04401
(207) 941-0879
(207) 941-0880
Mailing address
77 COURT STREET, BANGOR, ME 04401
(207) 941-0879
(207) 941-0880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3382
ME
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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