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1134760226
LISA DAVIS
BANGOR, ME
NPI
1134760226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME LD4779)
Enumeration Date
2019-10-01
Last Update Date
2019-10-01
Business Address
Ms. LISA DAVIS LADC, CCS
659 HOGAN RD
BANGOR, ME 04401-3626
Phone number: 207-973-0400
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Mailing Address
Ms. LISA DAVIS LADC, CCS
659 HOGAN RD
BANGOR, ME 04401-3626
Phone number: 207-973-0400
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