Alexis Petterson, LCSW

NPI #1073156444 in Bangor, Maine

Provider Information

NPI Number: 1073156444
Entity Type: Individual
Name: Alexis Petterson, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Oct 18, 2019
Last Updated: Nov 11, 2021

Practice Location

Address: 42 CEDAR ST
City: Bangor
State: Maine
ZIP Code: 04401-6433
Phone: (207) 922-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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