JACQUELINE LOUISE DAVIS

BANGOR, ME
NPI1215594452
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  cac6527)
Enumeration Date2019-05-23
Last Update Date2019-05-23
Business Address
JACQUELINE LOUISE DAVIS
253 HAMMOND ST
BANGOR, ME 04401-4610
Phone number: 207-941-1612
Mailing Address
JACQUELINE LOUISE DAVIS
253 HAMMOND ST
BANGOR, ME 04401-4610
Phone number: 207-941-1612
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