Individual
VALERIE MELISSA BOISVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
66 BRAMHALL ST, PORTLAND, ME 04102-3344
(207) 662-3101
(207) 662-6783
Mailing address
300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 04106-6914
(207) 661-2018
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC16537
ME
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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