Organization
LIFEWORKS OF MAINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER L MACDUFFIE PHD LCSW (SOLE MEMBER)
(207) 307-7886
Entity
Organization
Contact information
Practice address
444 STILLWATER AVE STE 103, BANGOR, ME 04401-3500
(120) 307-7886
Mailing address
444 STILLWATER AVE STE 103, BANGOR, ME 04401-3500
(207) 307-7886
(207) 433-1241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2469600000
—
ME
Enumeration date
10/19/2018
Last updated
10/19/2018
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