BRENDAN WICKLUND

BANGOR, ME
NPI1902610017
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  CAC8665)
Enumeration Date2025-02-07
Last Update Date2025-02-07
Business Address
BRENDAN WICKLUND
659 HOGAN RD
BANGOR, ME 04401-3626
Phone number: 207-973-0400
Mailing Address
BRENDAN WICKLUND
659 HOGAN RD
BANGOR, ME 04401-3626
Phone number: 207-973-0400
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