Most Relevant Information
Provider Data
| NPI Number: | 1003243163 |
| Provider Name: | TABITHA SAGNER |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | MC14436 |
Most Important Dates
| Enumeration Date: | 10/03/2013 |
| Last Updated: | 02/19/2015 |
Provider Practice Location
40 SUMMER ST
BANGOR
ME
044016446
Practice Location Phone/Fax
| Phone: | 2079454240 |
| Fax: |
Provider Mailing Location
81 LEE RD
LINCOLN
ME
04457
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |