Individual
MARGE JANE HUDSON-FAIRFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
535 OCEAN AVE 1, PORTLAND, ME 04103-4970
(207) 615-9070
Mailing address
535 OCEAN AVE 1, PORTLAND, ME 04103-4970
(207) 615-9070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5390
ME
Other
Enumeration date
07/30/2006
Last updated
07/21/2015
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