Individual
TERRI IRELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
348 MINOT AVE, MINOT, ME 04258-4657
(207) 689-4277
Mailing address
PO BOX 264, MINOT, ME 04258-0264
(207) 689-4277
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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