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CHARLES GARDNER, LADC
LADC
Social Worker
NPI: 1790102093Individual
Specialties, Licenses & Credentials
Addiction (Substance Use Disorder) Counselor
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
LC 5014(ME)
Social WorkerPrimary
Social Worker
Code: 104100000X
MC14888(ME)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 1012 UNION ST
BANGOR, ME 04401 - Phone
- (207) 945-5247
Quick Facts
- NPI
- 1790102093
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 12
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