Individual
MARYJANE KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 AIRPORT RD, WATERVILLE, ME 04901-4524
(207) 872-7272
(207) 872-0639
Mailing address
40 AIRPORT RD, WATERVILLE, ME 04901-4524
(207) 872-7272
(207) 872-0639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AD8119
ME
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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