Individual
EDWARD MARSHALL HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
369 MAIN, KEY 3 WEST, LEWISTON, ME 04240-7030
(207) 782-3386
Mailing address
361 MAIN ST, LEWISTON, ME 04240-7030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1687038
ME
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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