Individual
ALEXANDRIA S PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
157 PARK ST STE 34, BANGOR, ME 04401-5063
(207) 974-6057
Mailing address
69 KENNEBEC RD, HAMPDEN, ME 04444-1315
(207) 974-6057
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF2352
ME
Other
Enumeration date
12/29/2010
Last updated
10/18/2011
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