Individual
MARTHA DIANE LARIVIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT-C
Contact information
Practice address
25 DEAN DR, NORTH WATERBORO, ME 04061-4300
(207) 315-9939
Mailing address
25 DEAN DR, NORTH WATERBORO, ME 04061-4300
(207) 315-9939
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
XM4738
ME
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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