Individual
PHOEBE S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1577 CONGRESS ST, PORTLAND, ME 04102-2169
(207) 662-1442
Mailing address
50 MOODY ST, SACO, ME 04072-1536
(800) 434-3000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC21549
ME
1041C0700X
Clinical Social Worker
MC18948
ME
Other
Enumeration date
11/20/2020
Last updated
05/02/2023
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