Most Relevant Information
Provider Data
| NPI Number: | 1003527623 |
| Provider Name: | SUSAN FERRIS SEALY CADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CAC8163 |
Most Important Dates
| Enumeration Date: | 12/06/2022 |
| Last Updated: | 12/06/2022 |
Provider Practice Location
66 BARIBEAU DR
BRUNSWICK
ME
040113230
Practice Location Phone/Fax
| Phone: | 2073736942 |
| Fax: |
Provider Mailing Location
458 WISCASSET RD
BOOTHBAY
ME
045374624
Provider Mailing Phone/Fax
| Phone: | 2073736942 |
| Fax: |