Organization
PETERS PROFESSIONAL ASSOCIATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE PETERS LCSW (OWNER)
(207) 799-0092
Entity
Organization
Contact information
Practice address
31 BRAMHALL ST, PORTLAND, ME 04102-3101
(207) 799-0092
(207) 699-4321
Mailing address
31 BRAMHALL ST, PORTLAND, ME 04102-3101
(207) 799-0092
(207) 699-4321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4750
ME
Other
Enumeration date
11/10/2009
Last updated
12/05/2011
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