Individual
MRS. MARCIA ANNE DANIE HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCW
Contact information
Practice address
157 PARK ST, SUITE 35, BANGOR, ME 04401
(207) 942-5055
(207) 942-7013
Mailing address
PO BOX 1237, BANGOR, ME 04402
(207) 942-5055
(207) 942-7013
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC1058
ME
104100000X
Social Worker
Primary
LC7699
ME
1041C0700X
Clinical Social Worker
LC7699
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245530099
—
ME
Enumeration date
11/06/2006
Last updated
02/21/2020
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