Broc A Mcgowan LMSW CC

NPI 1275810475 - Social Worker - 1041C0700X

NPI Details
NPI 1275810475
Gender Male
Enumeration Date 11/16/2011
Last Updated 11/16/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
148 E MAIN ST
DOVER FOXCROFT ME, 04426-1305, US
Phone (207) 564-2464
Fax (207) 564-2404
Business Location
572 BANGOR RD
DOVER FOXCROFT ME, 04426-3373, US
Phone (207) 564-2464
Fax (207) 564-2404
Toxanomy
Taxonomy Code 1041C0700X
License State Maine
License Number MC13194
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According to our database, Broc A Mcgowan LMSW CC NPI is 1275810475, taxonomy code is 1041C0700X and license number is MC13194, license state is located at Maine. Broc A Mcgowan LMSW CC physically located at 148 E Main St, Dover Foxcroft ME, 04426-1305. NPI Number Broc A Mcgowan LMSW CC has the Individual type.

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1275810475 NPI number is provided on an as is basis without warranty of any kind. 1275810475 is maintained by the National Plan & Provider Enumeration System. The contents of Broc A Mcgowan LMSW CC are for informational purposes only.