Individual
MRS. STARR BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
22 FARWELL ST, LISBON, ME 04250-6824
(207) 576-1143
Mailing address
122 BURNS RD, AUGUSTA, ME 04330-7861
(207) 576-1143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC12137
ME
Other
Enumeration date
01/21/2009
Last updated
07/13/2009
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