Organization
EMERGE & TRANSFORM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SMALL LCSW (OWNER/LCSW)
(207) 860-4447
Entity
Organization
Contact information
Practice address
174 BROADWAY STE 2, FARMINGTON, ME 04938-5911
(207) 860-4447
Mailing address
174 BROADWAY STE 2, FARMINGTON, ME 04938-5911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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