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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