Individual
MRS. RUBY A D'SALVA-BOUTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1093 W MAIN ST, DOVER FOXCROFT, ME 04426-3717
(207) 564-8175
(207) 564-3975
Mailing address
1093 W MAIN ST, DOVER FOXCROFT, ME 04426-3717
(207) 564-8175
(207) 631-2203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC19412
ME
1041C0700X
Clinical Social Worker
MC16385
ME
Other
Enumeration date
11/15/2016
Last updated
10/15/2021
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