Individual
ANNA BIANCONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6795
(207) 623-8411
Mailing address
147 UPLAND RD, LISBON FALLS, ME 04252-6101
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MC20255
ME
1041C0700X
Clinical Social Worker
Primary
LC22462
ME
Other
Enumeration date
10/20/2022
Last updated
06/05/2023
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