Individual
FAITH E PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL THERAP
Contact information
Practice address
102 MAIN ST STE A, ELLSWORTH, ME 04605-1919
(207) 667-6783
(207) 667-0668
Mailing address
102 MAIN ST STE A, ELLSWORTH, ME 04605-1919
(207) 667-6783
(207) 667-0668
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
369925
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135310200
MAINECARE
ME
Enumeration date
11/05/2008
Last updated
11/05/2008
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