| Doctor Name: | SHERRI-LYNN GAGNON |
| NPI Number: | 1063706463 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | MC12741 |
| Business Practice Address: | 5 Carter Street Eagle Lake, ME - 047390310 |
| Business Phone Number: | 2074445152 |
| Business Fax Number: | 2074446099 |
| Mailing Address: | Po Box 310, EAGLE LAKE |
| State: | ME |
| Postal Code: | 047390310 |
| Phone Number: | 2074445152 |
| Fax Number: | 2074446099 |
| NPI Enumeration Date: | 06/02/2011 |
| NPI Last Update Date: | 06/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | MC12741 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |