Most Relevant Information
Provider Data
| NPI Number: | 1003528985 |
| Provider Name: | ANITA CONLEY LMSWCC |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | MC21921 |
Most Important Dates
| Enumeration Date: | 12/22/2022 |
| Last Updated: | 12/22/2022 |
Provider Practice Location
268 STILLWATER AVE
BANGOR
ME
044013945
Practice Location Phone/Fax
| Phone: | 2079736100 |
| Fax: |
Provider Mailing Location
268 STILLWATER AVE
BANGOR
ME
044013945
Provider Mailing Phone/Fax
| Phone: | 2079736100 |
| Fax: |