MELISSA WALLACE

AUGUSTA, ME
NPI1538607767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  CAC3136)
Enumeration Date2017-02-08
Last Update Date2017-02-08
Business Address
-- MELISSA WALLACE CADC
841 RIVERSIDE DR SUITE B
AUGUSTA, ME 04330-8302
Phone number: 844-294-5306
Mailing Address
-- MELISSA WALLACE CADC
841 RIVERSIDE DR SUITE B
AUGUSTA, ME 04330-8302
Phone number: 844-294-5306
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