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CHARLES GARDNER, LADC

LADC

Social Worker

NPI: 1790102093Individual

Specialties, Licenses & Credentials

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

LC 5014(ME)

Social Worker

Code: 104100000X

MC14888(ME)

CMS Specialties

PrimaryCLINICAL SOCIAL WORKER

Education

OTHER

Class of 2014

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Contact & Hours

Address
1012 UNION ST
BANGOR, ME 04401

Quick Facts

NPI
1790102093
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1
Years in Practice
12

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