MICHELLE D HENNEBERRY

BANGOR, ME
NPI1215988852
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ME  R037051)
Enumeration Date2006-05-16
Last Update Date2009-12-17
Business Address
-- MICHELLE D HENNEBERRY PMHNP
263 STATE ST SUITE 23
BANGOR, ME 04401-5435
Phone number: 207-945-3615
Mailing Address
-- MICHELLE D HENNEBERRY PMHNP
263 STATE ST SUITE 23
BANGOR, ME 04401-5435
Phone number: 207-945-3615
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