Individual
DANIELLE DEFOSSE-STROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, MHRT/C
Contact information
Practice address
4 PARK ST, LEWISTON, ME 04240-7172
(207) 784-0922
Mailing address
70 LEAVITT AVE, LEWISTON, ME 04240-4746
(207) 577-0606
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
ME
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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