Individual
MRS. MARISOL M NEEDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
293 STATE ST, PORTLAND, ME 04101-2342
(207) 899-0761
Mailing address
293 STATE ST, PORTLAND, ME 04101-2342
(207) 899-0761
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11026
ME
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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