| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1346368925 | CLARCQ | LISA | A | 149 NORTH ST | WATERVILLE | ME | 049014974 | |
| 1114687480 | FAGAN | AMIE | 149 NORTH ST | WATERVILLE | ME | 049014974 | ||
| 1154773935 | LEBLANC | CHRISTINA | 149 NORTH ST | WATERVILLE | ME | 049014974 | ||
| 1235574369 | YUN | JONATHAN | 149 NORTH ST | WATERVILLE | ME | 049014974 |