Individual
MS. PAULA WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
343 FOREST AVE, PORTLAND, ME 04101-2006
(207) 874-1032
(207) 874-1009
Mailing address
78 ATLANTIC PLACE, SO. PORTLAND, ME 04101-2316
(207) 842-6556
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3540
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257970099
—
ME
Enumeration date
01/23/2007
Last updated
11/16/2009
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