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Individual
PATRICIA MARY ALBERT-DEHETRE
Active
Individual
PATRICIA MARY ALBERT-DEHETRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS4460
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC3748
ME
101YM0800X
Mental Health Counselor
Primary
LC11382
ME
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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