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1740709567
MEISHA B NICKERSON
BANGOR, ME
NPI
1740709567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC20031)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2017-09-13
Last Update Date
2024-02-16
Business Address
MEISHA B NICKERSON LCSW
86 DAVIS RD
BANGOR, ME 04401-2311
Phone number: 207-992-2205
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Mailing Address
MEISHA B NICKERSON LCSW
268 STILLWATER AVE
BANGOR, ME 04401-3945
Phone number: 207-973-6100
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