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Individual

MS. SHARON LOUISE ASH TANCREDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
56 WILLIAM ST, PORTLAND, ME 04103-4828
(207) 879-8909
(207) 883-5456
Mailing address
PO BOX 1734, SCARBOROUGH, ME 04070-1734
(207) 879-8909
(207) 883-5456

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5788
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022448
ANTHEM
ME
01
14Y007426ME01
BHN
NE
01
153616XX
PREFERRED CARE
ME
01
22001001
CIGNA
ME
01
3837221
AETNA
ME
01
7643480
AETNA
ME
01
9357960
PHCS
ME
Enumeration date
07/17/2006
Last updated
07/08/2007
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