Individual
BRANDY DAISY FREDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
181 CORPORATE DR, BANGOR, ME 04401-4314
(207) 992-2636
(207) 947-0435
Mailing address
42 CEDAR ST, BANGOR, ME 04401-6433
(207) 947-0366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MC13212
ME
104100000X
Social Worker
MC13212
ME
1041C0700X
Clinical Social Worker
Primary
LC14564
ME
Other
Enumeration date
08/14/2011
Last updated
02/19/2026
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