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Individual

PHILIP MANUEL RAMU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2 FERNALD STREET, WILTON, ME 04294
(207) 645-2896
Mailing address
2 FERNALD STREET, WILTON, ME 04294
(207) 645-2896

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6640
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
047228
ANTHEM
ME
01
122509
MAGELLAN BEHAVIORAL
ME
01
2058262
CIGNA
ME
Enumeration date
10/05/2006
Last updated
07/08/2007
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