TIMOTHY DOUGLAS VAN SICKLE

BANGOR, ME
NPI1548056062
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies104100000X Social Worker
Enumeration Date2025-04-21
Last Update Date2025-04-21
Business Address
TIMOTHY DOUGLAS VAN SICKLE
15 GRANT ST
BANGOR, ME 04401-3819
Phone number: 207-889-4740
Mailing Address
TIMOTHY DOUGLAS VAN SICKLE
15 GRANT ST
BANGOR, ME 04401-3819
Phone number: 207-889-4740