Individual
BAILEY G KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 LISBON ST STE 2, LEWISTON, ME 04240-8064
(207) 871-1211
(207) 871-1232
Mailing address
901 WASHINGTON AVE STE 100, PORTLAND, ME 04103-2842
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL5271
ME
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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