LISA DAVIS

BANGOR, ME
NPI1134760226
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ME  LD4779)
Enumeration Date2019-10-01
Last Update Date2019-10-01
Business Address
MS. LISA DAVIS LADC, CCS
659 HOGAN RD
BANGOR, ME 04401-3626
Phone number: 207-973-0400
Mailing Address
MS. LISA DAVIS LADC, CCS
659 HOGAN RD
BANGOR, ME 04401-3626
Phone number: 207-973-0400
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