AMY RICHARD

BANGOR, ME
NPI1568786499
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  CAC4615)
Enumeration Date2010-03-22
Last Update Date2010-03-22
Business Address
-- AMY RICHARD
629 MAIN ST
BANGOR, ME 04401-6848
Phone number: 207-990-2870
Mailing Address
-- AMY RICHARD
285 ESSEX ST
BANGOR, ME 04401-4002
Phone number: