EDWARD MARSHALL HANSON

LEWISTON, ME
NPI1952741894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  1687038)
Enumeration Date2013-06-25
Last Update Date2013-06-25
Business Address
-- EDWARD MARSHALL HANSON LADC
369 MAIN KEY 3 WEST
LEWISTON, ME 04240-7030
Phone number: 207-782-3386
Mailing Address
-- EDWARD MARSHALL HANSON LADC
361 MAIN ST
LEWISTON, ME 04240-7030
Phone number: