Individual
LINDA HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 MONUMENT SQ, PORTLAND, ME 04101-4039
(207) 874-1175
(207) 874-1181
Mailing address
50 LYDIA LN, SOUTH PORTLAND, ME 04106-2156
(207) 874-1175
(207) 874-1181
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LS9631
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431578199
—
ME
Enumeration date
07/16/2009
Last updated
07/16/2009
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