Individual
DR. GAIL B WERRBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
970 ILLINOIS AVE, BANGOR, ME 04401-2722
(207) 945-4240
Mailing address
119 PARKVIEW AVE, BANGOR, ME 04401-4048
(207) 941-0177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3919
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC3919
LCSW
ME
Enumeration date
04/07/2007
Last updated
07/08/2007
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