Individual
MISS HEIDI DAWN MACVANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
38 FALCON DR, AUBURN, ME 04210-4384
(617) 230-0896
Mailing address
38 FALCOLN DR., AUBURN, ME 04210
(617) 230-0896
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10874
ME
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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