MARTINA BLAKE GILMORE WING

BANGOR, ME
NPI1497569388
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  CAC8156)
Enumeration Date2025-02-03
Last Update Date2025-02-03
Business Address
MARTINA BLAKE GILMORE WING CADC
689 ODLIN RD STE 1
BANGOR, ME 04401-6709
Phone number: 207-945-7765
Mailing Address
MARTINA BLAKE GILMORE WING CADC
6 FLINT LN
VEAZIE, ME 04401-7131
Phone number: 207-708-0389