Individual
MS. ELIZABETH SEQUOIA DANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW/CC
Contact information
Practice address
1120 CENTER ST, AUBURN, ME 04210-6528
(207) 333-3833
(207) 333-6939
Mailing address
PO BOX 958, LEWISTON, ME 04243-0958
(207) 333-3833
(207) 333-6939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC7864
ME
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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