| Bonnie I Handy Lcsw Ladc | |
|
57 Tandberg Trl Suite #6 Windham ME 04062-6425 | |
| (207) 653-1371 | |
| Not Available |
| Full Name | Bonnie I Handy Lcsw Ladc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 57 Tandberg Trl, Windham, Maine |
| Authorized Official Name and Position | Bonnie Irene Handy (OWNER) |
| Authorized Official Contact | 2076531371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie I Handy Lcsw Ladc Po Box 160 Gray ME 04039-0160 Ph: (207) 653-1371 | Bonnie I Handy Lcsw Ladc 57 Tandberg Trl Suite #6 Windham ME 04062-6425 Ph: (207) 653-1371 |
| NPI Number | 1437401262 |
|---|---|
| Provider Enumeration Date | 10/03/2012 |
| Last Update Date | 10/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437401262 | NPI | - | NPPES |
| ME1202 | Other | ME | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LC3393 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC6646 (Maine) | Primary |
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