Individual
NEVEAH JANET SPORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 MAIN ST STE 49, BANGOR, ME 04401-6397
(207) 907-0474
Mailing address
95 THOMAS HILL RD, BANGOR, ME 04401-4623
(207) 907-0474
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF5277
ME
Other
Enumeration date
09/14/2016
Last updated
10/06/2021
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