Individual
ELISE LOUISE CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 MAIN ST STE 302, LEWISTON, ME 04240-8193
(800) 434-3000
Mailing address
50 MOODY ST, SACO, ME 04072-1536
(800) 434-3000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC22443
ME
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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