JONATHAN D SANDAU

BREWER, ME
NPI1104277201
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  LC7793)
Enumeration Date2016-06-29
Last Update Date2025-12-01
Business Address
-- JONATHAN D SANDAU
401 S MAIN ST
BREWER, ME 04412-2322
Phone number: 207-659-1577
Mailing Address
-- JONATHAN D SANDAU
511 WING RD
HERMON, ME 04401-0422
Phone number: 207-659-1577
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