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MS. CAROLYN R. DODGE CADC

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1972826972

Individual Registrant:
MS. CAROLYN R. DODGE CADC
Gender: F
Sole Proprietor

Location and contact information for practice:
1 JEWELL ROAD  DIXMONT, ME 04932-0044 US
Tel: 207-944-3454  Fax: --

Contact information for business:
PO BOX 44  DIXMONT, ME 04932-0044 US
Tel: 207-944-3454  Fax: --

Registration Information:
NPI: 1972826972
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
MECAC3658

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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