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Individual

CHERIA CLOW ROLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
28 LEVESQUE DR, ELIOT, ME 03903-2078
(207) 351-6932
Mailing address
PO BOX 925, KITTERY, ME 03904-0925
(207) 351-6932

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC4970
ME
1041C0700X
Clinical Social Worker
Primary
LC12855
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376528398
YORK HOSPITAL NPI#
ME
Enumeration date
06/01/2007
Last updated
03/17/2018
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