Individual
ELIZABETH DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280B GANNETT DR, SOUTH PORTLAND, ME 04106-6940
(207) 772-7185
Mailing address
280B GANNETT DR, SOUTH PORTLAND, ME 04106-6940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5662
ME
1041C0700X
Clinical Social Worker
Primary
MC15172
ME
Other
Enumeration date
09/19/2014
Last updated
11/20/2015
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