Individual
REBECCA DONALDSON PATKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 HILLCREST AVE, RANDOLPH, ME 04346-5131
(207) 582-9205
(207) 582-9653
Mailing address
184 WATER ST, APT. 2, AUGUSTA, ME 04330-4614
(207) 975-2155
(207) 582-9653
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ME314581
ME
Other
Enumeration date
05/21/2007
Last updated
03/01/2012
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