Individual
MRS. LOIDA ELENA BICERA RUANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
40 SUMMER ST, BANGOR, ME 04401-6446
(207) 945-4240
(207) 299-1116
Mailing address
110 BILLINGS RD, HERMON, ME 04401-0534
(207) 848-4914
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC11402
ME
Other
Enumeration date
12/19/2007
Last updated
01/18/2010
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