Individual
MONIQUE SIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
263 SUNSET RD, SPRINGVALE, ME 04083-6022
(207) 490-4520
(207) 490-4521
Mailing address
263 SUNSET RD, SPRINGVALE, ME 04083-6022
(207) 490-4520
(207) 490-4521
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10846
ME
1041C0700X
Clinical Social Worker
ME522216
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431635699
—
ME
01
—
ME2429
MEDICARE
ME
Enumeration date
08/17/2006
Last updated
07/11/2016
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