Individual
MARIE A. PASCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, LCSW
Contact information
Practice address
50 MOODY ST, SACO, ME 04072-1536
(207) 294-4657
(207) 294-4649
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 661-2018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
MC8745
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP171097
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324950099
—
ME
Enumeration date
04/03/2006
Last updated
11/14/2017
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