Individual
MICHELE GINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 AIRPORT RD, WATERVILLE, ME 04901-4524
(207) 872-7272
Mailing address
40 AIRPORT RD, WATERVILLE, ME 04901-4524
(207) 872-7272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AD6998
ME
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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