Individual
MR. CIRO THOMAS OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
12 WAVERLY AVENUE, PITTSFIELD, ME 04967
(207) 623-8411
Mailing address
12 WAVERLY AVE, PITTSFIELD, ME 04967-1118
(207) 623-8411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1228
ME
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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