Individual
MS. SALLY LINDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
194 MAIN STREET, ELLSWORTH, ME 04605
(207) 667-4042
Mailing address
PO BOX 187, ELLSWORTH, ME 04605
(207) 667-4042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC1271
ME
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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