Individual
ELIZABETH BROOKE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 MOODY ST, SACO, ME 04072-1536
(800) 434-3000
Mailing address
50 MOODY ST, SACO, ME 04072-1536
(800) 434-3000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9893
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30425261
—
NH
05
—
432667599
—
ME
Enumeration date
06/27/2007
Last updated
03/30/2009
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