Individual
REBECCA DIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
62 ELM ST, SUITE 1, PORTLAND, ME 04101-3091
(207) 553-7056
(207) 773-2082
Mailing address
29 FRANKLIN ST, BANGOR, ME 04401-4909
(207) 942-3816
(207) 561-4725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11972
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IN PROCESS
—
ME
Enumeration date
02/19/2010
Last updated
02/19/2010
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