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1265594832
EDITHE ANNE GAGNON
BANGOR, ME
NPI
1265594832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC7700)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
Ms. EDITHE ANNE GAGNON LCSW, DCSW
157 PARK ST SUITE 35
BANGOR, ME 04401-5093
Phone number: 207-945-3911
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Mailing Address
Ms. EDITHE ANNE GAGNON LCSW, DCSW
91 SUMMER ST
HAMPDEN, ME 04444-1211
Phone number: 207-862-6311
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