| Lifeworks Of Maine Llc | |
|
444 Stillwater Ave Ste 103 Bangor ME 04401-3500 | |
| (120) 307-7886 | |
| Not Available |
| Full Name | Lifeworks Of Maine Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 444 Stillwater Ave Ste 103, Bangor, Maine |
| Authorized Official Name and Position | Heather L Macduffie (SOLE MEMBER) |
| Authorized Official Contact | 2073077886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeworks Of Maine Llc 444 Stillwater Ave Ste 103 Bangor ME 04401-3500 Ph: (207) 307-7886 | Lifeworks Of Maine Llc 444 Stillwater Ave Ste 103 Bangor ME 04401-3500 Ph: (120) 307-7886 |
| NPI Number | 1053887737 |
|---|---|
| Provider Enumeration Date | 10/19/2018 |
| Last Update Date | 10/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053887737 | NPI | - | NPPES |
| 2469600000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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