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Individual

CHARISSA ROSE ROBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW-CC

Contact information

Practice address
15 SAUNDERS WAY, SUITE #720, WESTBROOK, ME 04092-4833
(207) 878-9663
Mailing address
4 MCGILL FERN RD, STANDISH, ME 04084-6529
(207) 318-2324

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC12608
ME

Other

Enumeration date
11/22/2011
Last updated
11/22/2011
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