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Individual

SAIGE R WEEKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
53 BAXTER BLVD STE 3, PORTLAND, ME 04101-1827
(603) 883-0005
Mailing address
90 EDGEWOOD AVE, PORTLAND, ME 04103-3617
(207) 280-0641

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
LC16831
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1303414
MA
Enumeration date
09/22/2014
Last updated
04/01/2024
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