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1134671472
BRENT AUSTIN
BANGOR, ME
NPI
1134671472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME CAC5436)
Enumeration Date
2016-11-03
Last Update Date
2016-11-03
Business Address
-- BRENT AUSTIN CADC
98 CUMBERLAND ST
BANGOR, ME 04401-5234
Phone number: 207-941-1612
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Mailing Address
-- BRENT AUSTIN CADC
98 CUMBERLAND ST
BANGOR, ME 04401-5234
Phone number: 207-941-1612
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