Individual
SUSAN JEAN PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
360 HARLOW ST, BANGOR, ME 04401-4908
(207) 561-9533
Mailing address
360 HARLOW ST, BANGOR, ME 04401-4908
(207) 561-9533
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3865
ME
Other
Enumeration date
08/26/2011
Last updated
12/06/2011
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