Individual
SUSAN E BAKALEY-MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
253 HALLDALE RD, MONTVILLE, ME 04941-4066
(207) 589-3063
Mailing address
253 HALLDALE RD, MONTVILLE, ME 04941-4066
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC256
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431547499
—
ME
Enumeration date
08/14/2007
Last updated
05/01/2009
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