Organization
SUZANNE WHITE, LCSW CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE WHITE LCSW (CLINICAL SOCIAL WORKER)
(207) 649-4047
Entity
Organization
Contact information
Practice address
49 OAK ST, AUGUSTA, ME 04330-5118
(207) 649-4047
(207) 622-6290
Mailing address
138 PRIEST HILL RD, VASSALBORO, ME 04989-3305
(207) 649-4047
(207) 622-6290
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7959
ME
Other
Enumeration date
07/25/2012
Last updated
11/26/2012
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