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Individual

MARGARET LONGSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC, LADC, CRC

Contact information

Practice address
25 FREEDOM PKWY, HERMON, ME 04401-1100
(207) 848-5804
(207) 848-7978
Mailing address
25 FREEDOM PKWY, HERMON, ME 04401-1100
(207) 848-5804
(207) 848-7978

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
00007506
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC2362
ME
101YM0800X
Mental Health Counselor
Primary
CC1001
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
431783199
ME
Enumeration date
01/15/2009
Last updated
01/05/2017
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