Individual
WILLIAM D ELDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-2221
(207) 662-6816
Mailing address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-2221
(207) 662-6816
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC491
ME
Other
Enumeration date
08/13/2006
Last updated
04/21/2009
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