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Individual

BARBARA PEISNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
343 FOREST AVE, PORTLAND, ME 04101-2006
(207) 874-1030
(207) 874-1044
Mailing address
343 FOREST AVE, PORTLAND, ME 04101-2006
(207) 874-1030
(207) 874-1044

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC1721
ME
1041C0700X
Clinical Social Worker
Primary
LC1721
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
308370099
ME
Enumeration date
09/01/2006
Last updated
04/04/2013
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