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Organization

MONIQUE ANNE SPINA LCSW

Active
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Organization

MONIQUE ANNE SPINA LCSW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONIQUE ANNE SPINA LCSW (SOLE PROPRIETOR)
(207) 468-7236
Entity
Organization

Contact information

Practice address
2 MAIN ST, SUITE 17-302, BIDDEFORD, ME 04005-2631
(207) 468-7236
Mailing address
PO BOX 623, SACO, ME 04072-0623
(207) 468-7236

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC8153
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272050099
ME
Enumeration date
08/28/2009
Last updated
08/28/2009
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