Individual
DEBRA BARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
343 FOREST AVE, PORTLAND, ME 04101-2006
(207) 874-1030
(207) 874-1009
Mailing address
343 FOREST AVE, PORTLAND, ME 04101-2006
(207) 874-1030
(207) 874-1009
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
XL3304
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433035399
—
ME
Enumeration date
05/19/2009
Last updated
05/19/2009
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