Individual
MARK NAKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 MIDDLE ST, PORTLAND, ME 04101-4869
(207) 773-4413
Mailing address
25 MIDDLE ST, PORTLAND, ME 04101-4869
(207) 773-4413
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC132
ME
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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