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Individual

MR. DAVID M. RADMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
55 BELL ST STE 1, PORTLAND, ME 04103-3418
(207) 233-1464
(207) 514-8333
Mailing address
20 GEORGE PERLEY RD, GRAY, ME 04039-5805
(207) 233-1464
(207) 514-8333

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CW017194
PA
1041C0700X
Clinical Social Worker
Primary
LC11480
ME
1041C0700X
Clinical Social Worker
R055887
NY

Other

Enumeration date
09/17/2006
Last updated
06/28/2022
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