Individual
MELANIE ROGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
88 MAIN ST STE 100, WATERVILLE, ME 04901-6665
(207) 877-5773
Mailing address
6 RANCOURT AVE, WINSLOW, ME 04901-6962
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC16172
ME
1041C0700X
Clinical Social Worker
Primary
LC16172
ME
Other
Enumeration date
07/17/2014
Last updated
07/08/2019
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