Individual
MS. PAMELA RUST GLIDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2 WATER ST, SUITE 2, HOULTON, ME 04730-2126
(207) 532-5510
(207) 532-5518
Mailing address
PO BOX 57, 228 BURLEIGH RD, WESTFIELD, ME 04787-0057
(207) 425-1002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 12121
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417140099
—
ME
Enumeration date
05/17/2007
Last updated
04/21/2010
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