| Nicole Mank, Lcsw, Llc | |
|
126 Western Ave # 1026 Augusta ME 04330-7249 | |
| (207) 242-8359 | |
| (207) 560-9093 |
| Full Name | Nicole Mank, Lcsw, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 126 Western Ave # 1026, Augusta, Maine |
| Authorized Official Name and Position | Nicole Mank (OWNER) |
| Authorized Official Contact | 2072428359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Mank, Lcsw, Llc 126 Western Ave # 1026 Augusta ME 04330-7249 Ph: (207) 242-8359 | Nicole Mank, Lcsw, Llc 126 Western Ave # 1026 Augusta ME 04330-7249 Ph: (207) 242-8359 |
| NPI Number | 1871134478 |
|---|---|
| Provider Enumeration Date | 10/04/2019 |
| Last Update Date | 10/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871134478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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