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Individual

RUTH A. DEWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC, LADC

Contact information

Practice address
11 LISBON ST, SUITE 105, LEWISTON, ME 04240-7198
(207) 783-4268
Mailing address
11 LISBON ST, SUITE 105, LEWISTON, ME 04240-7198
(207) 783-4268

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC263
ME
101YP2500X
Professional Counselor
Primary
CC1855
ME

Other

Enumeration date
08/06/2008
Last updated
08/06/2008
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