Suzanne White, Lcsw Corp | |
49 Oak St Augusta ME 04330-5118 | |
(207) 649-4047 | |
(207) 622-6290 |
Full Name | Suzanne White, Lcsw Corp |
---|---|
Speciality | Social Worker - Clinical |
Location | 49 Oak St, Augusta, Maine |
Authorized Official Name and Position | Suzanne White (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 2076494047 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Suzanne White, Lcsw Corp 138 Priest Hill Rd Vassalboro ME 04989-3305 Ph: (207) 649-4047 | Suzanne White, Lcsw Corp 49 Oak St Augusta ME 04330-5118 Ph: (207) 649-4047 |
NPI Number | 1205182466 |
---|---|
Provider Enumeration Date | 07/25/2012 |
Last Update Date | 11/26/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205182466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC7959 (Maine) | Primary |
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