Individual
JOHN W REIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
102 GORDON FARMS RD, GORHAM, ME 04038-2389
(207) 893-0386
(207) 893-2086
Mailing address
PO BOX 1360, WINDHAM, ME 04062-1360
(207) 893-0386
(207) 893-2086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC12053
ME
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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