Individual
NICOLE FIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 BAXTER BLVD, PORTLAND, ME 04101-1801
(207) 828-4026
Mailing address
11 BAXTER BLVD, PORTLAND, ME 04101-1801
(207) 828-4026
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC16725
ME
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/26/2013
Last updated
03/22/2023
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