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Individual

ELLEN MARIE HURD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
333 BROWN ST, THIRD FLOOR, WESTBROOK, ME 04092-2909
(207) 232-5590
Mailing address
333 BROWN ST, THIRD FLOOR, WESTBROOK, ME 04092-2909
(207) 232-5590

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7919
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100115
ANTHEM BCBS
ME
01
38257
BENEFIT SOURCE
ME
Enumeration date
11/07/2006
Last updated
01/23/2015
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