Individual
MRS. AZURE MARIE PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
32 SHERWOOD DR, AUBURN, ME 04210-5320
(207) 783-8526
Mailing address
32 SHERWOOD DR, AUBURN, ME 04210-5320
(207) 783-8526
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC13101
ME
1041C0700X
Clinical Social Worker
MC12195
ME
Other
Enumeration date
08/18/2009
Last updated
07/25/2011
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