Individual
MS. CAROLYN R. DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1 JEWELL ROAD, DIXMONT, ME 04932-0044
(207) 944-3454
Mailing address
PO BOX 44, DIXMONT, ME 04932-0044
(207) 944-3454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC3658
ME
Other
Enumeration date
03/04/2010
Last updated
01/04/2011
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