Individual
YACOV AVIV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW-CC
Contact information
Practice address
15 STRAWBERRY AVE, LEWISTON, ME 04240-5941
(617) 956-2778
Mailing address
9 AVALON ST, LEWISTON, ME 04240-4405
(617) 956-2778
(617) 956-2778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC23042
ME
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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