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Individual

DIANE M HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W

Contact information

Practice address
836 MAIN ST, WESTBROOK, ME 04092-2861
(207) 653-7885
(207) 892-2950
Mailing address
15 RUNNING BROOK RD, WINDHAM, ME 04062-5160
(207) 653-7885
(207) 892-2950

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC2976
ME
1041C0700X
Clinical Social Worker
Primary
LC10208
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
247560099
MAINECARE
ME
Enumeration date
08/30/2006
Last updated
12/28/2016
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