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Individual

MR. SCOTT ALLAN HEIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW

Contact information

Practice address
1 HARNOIS AVE STE 2A, WESTBROOK, ME 04092-4395
(207) 661-3400
Mailing address
2 CONSTITUTION DR, WESTBROOK, ME 04092-4612
(207) 956-3474

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089953
NY
1041C0700X
Clinical Social Worker
Primary
LC21487
ME

Other

Enumeration date
06/01/2017
Last updated
12/14/2023
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