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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