Individual
DANIELLE MIVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7 RAILROAD AVE STE 317, GORHAM, ME 04038-1546
(207) 222-0309
Mailing address
4 CRANBERRY LN, POLAND, ME 04274-6171
(207) 329-9603
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC23125
ME
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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