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Individual

MRS. TAMMY L. DEVEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW-CC

Contact information

Practice address
7 HATCH DR, SUITE 290, CARIBOU, ME 04736-2159
(207) 492-1653
(207) 492-1633
Mailing address
7 HATCH DR, SUITE 290, CARIBOU, ME 04736-2159
(207) 492-1653
(207) 492-1633

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC10786
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
098153
ANTHEM BCBS NUMBER
ME
05
4324320299
ME
Enumeration date
12/28/2006
Last updated
07/09/2007
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