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Individual

RITA G NUGENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
69 FEDERAL ST, 2ND FLOOR, PORTLAND, ME 04101
(207) 347-4382
(207) 772-7702
Mailing address
69 FEDERAL ST, 2ND FLOOR, PORTLAND, ME 04101
(207) 347-4382
(207) 772-7702

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3488
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
079052
ANTHEM
01
1050450
CIGNA
Enumeration date
10/24/2006
Last updated
07/08/2007
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