Individual
CHELSEA VICTORIA SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 CALDWELL RD, AUGUSTA, ME 04330-5735
(207) 616-6849
Mailing address
257 NORTHERN AVE, AUGUSTA, ME 04330-3900
(207) 616-6849
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC19630
ME
1041C0700X
Clinical Social Worker
MC17091
ME
Other
Enumeration date
03/19/2018
Last updated
12/05/2022
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