Individual
MS. MARINA D EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
17 BRIARWOOD LN, PORTLAND, ME 04103-2775
(207) 233-5778
Mailing address
17 BRIARWOOD LN, PORTLAND, ME 04103-2775
(207) 233-5778
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC CAC2971
ME
1041C0700X
Clinical Social Worker
LCSW LC7299
ME
1041C0700X
Clinical Social Worker
LICSW 113669
MA
Other
Enumeration date
12/15/2006
Last updated
09/11/2025
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