Whalio Doctors

NPI 1083928451

Carol Jean Witham, MHRTC

Practitioner Case Manager/Care Coordinator Bangor, ME

Practice location

Address
273 Hammond St, Bangor, ME 04401-4610
Phone
(207) 217-6711
Fax
(207) 217-6712

Registered specialties

Case Manager/Care Coordinator Primary
Other Service Providers Taxonomy 171M00000X Licence MHRT-C (ME)

Registry record

NPI
1083928451
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Jul 2010
Record last updated
1 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.