Individual
ANDREA BATHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
443 MAIN ST, BIDDEFORD, ME 04005-2124
(207) 282-7113
(207) 282-6810
Mailing address
443 MAIN ST, P.O. BOX 363, BIDDEFORD, ME 04005-2124
(207) 282-7113
(207) 282-6810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC14463
ME
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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