Individual
BETSEY MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1397 MAIN STREET, SANFORD, ME 04074-0000
(207) 432-9056
Mailing address
1397 MAINE STREET, SANFORD, ME 04074-0000
(207) 432-9056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9831
ME
Other
Enumeration date
03/17/2006
Last updated
06/04/2012
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