Individual
MR. PETER D. ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
226A PORTLAND ROAD, RTE 302, BRIDGTON, ME 04005-0000
(207) 647-2037
(207) 647-2037
Mailing address
PO BOX 96, HARRISON, ME 04040-0096
(207) 647-2037
(207) 647-2037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3086
ME
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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