Individual
ROY ULRICKSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
33 PENN PLZ, BANGOR, ME 04401-3619
(207) 881-6283
(207) 881-6285
Mailing address
33 PENN PLZ, BANGOR, ME 04401-3619
(207) 881-6283
(207) 881-6285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CCS8285
ME
1041C0700X
Clinical Social Worker
Primary
LC18009
ME
1041C0700X
Clinical Social Worker
Primary
MC15749
ME
Other
Enumeration date
11/02/2015
Last updated
02/22/2026
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