Individual
ALEX S WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
165 LANCASTER ST, PORTLAND, ME 04101-2406
(207) 661-6693
Mailing address
165 LANCASTER ST, PORTLAND, ME 04101-2406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC19813
ME
Other
Enumeration date
07/09/2025
Last updated
07/30/2025
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