Individual
ELLEN GURNEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9 HASTINGS ST, PORTLAND, ME 04102-2015
(207) 329-4024
(207) 761-4001
Mailing address
12 FULLER ST, PORTLAND, ME 04103-1710
(207) 329-4024
(207) 761-4001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6479
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040619
ANTHEM BC/BS
ME
01
—
2187425
CIGNA
ME
Enumeration date
12/28/2005
Last updated
07/08/2007
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