Individual
OLIVIA WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
100 FODEN RD STE 100, SOUTH PORTLAND, ME 04106-2327
(207) 874-1486
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 347-2947
(207) 874-2317
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC24869
ME
Other
Enumeration date
01/14/2022
Last updated
03/04/2026
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