Individual
MS. MARJORIE ELAINE AVERILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
73 BISCAY ROAD, DAMARISCOTTA, ME 04542
(207) 563-3022
(207) 563-3061
Mailing address
PO BOX 157, NOBLEBORO, ME 04555
(207) 563-3022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7078
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700996063
NPI
ME
05
—
204920100
—
ME
05
—
432269200
—
ME
Enumeration date
09/27/2006
Last updated
03/05/2013
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