Individual
MISS SAMANTHA PORTNOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSWCC
Contact information
Practice address
500 US RT. 1 SUITE 102, YARMOUTH, ME 04096
(207) 847-2273
Mailing address
500 US ROUTE 1 STE 102, YARMOUTH, ME 04096-6817
(207) 847-2273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC14869
ME
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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