Individual
IAN WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
123 ANDOVER RD, WESTBROOK, ME 04092-3850
(207) 409-5112
Mailing address
123 ANDOVER RD, WESTBROOK, ME 04092-3850
(207) 409-5112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC20592
ME
1041C0700X
Clinical Social Worker
Primary
MC18291
ME
Other
Enumeration date
01/13/2020
Last updated
10/26/2021
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