Provider Information for 1508851528
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Mr. AARON MICHAEL LANDRY LCSW
Sex: Male
NPI: 1508851528
Last Updated: 2023-02-23
Certification Date: 2023-02-23
Certification Date: 2023-02-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1508851528 | ||||||||||||
| Enumeration Date | 2005-09-15 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 11 HIDDEN OAKS DR GREENE, ME 04236-3368 United States Phone: 863-251-2116 | Fax: | ||||||||||||
| Primary Practice Address | 10 WARE ST LEWISTON, ME 04240-6214 United States Phone: 207-298-1676 | Fax:207-298-1676 | ||||||||||||
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