Individual
PATRICIA A CANAVAN
Active
Individual
PATRICIA A CANAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LC8211
ME
1041C0700X
Clinical Social Worker
Primary
LC8211
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093734345
—
ME
01
—
200828
ANTHEM
ME
01
—
9454062
AETNA
ME
Enumeration date
07/18/2006
Last updated
05/24/2013
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