Individual
DENISE ANTONITION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
354 AIRPORT RD, STONINGTON, ME 04681-3217
(207) 367-2311
(207) 367-2805
Mailing address
354 AIRPORT RD, STONINGTON, ME 04681-3217
(207) 367-2311
(207) 367-2805
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC16724
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407227747
—
ME
Enumeration date
10/13/2015
Last updated
01/20/2021
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