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Individual

MINDY M MUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
813 BROADWAY, ART OF AWARENESS, INC., SOUTH PORTLAND, ME 04106-2708
(207) 799-1331
(207) 799-1350
Mailing address
813 BROADWAY, ART OF AWARENESS, INC., SOUTH PORTLAND, ME 04106-2708
(207) 799-1331
(207) 799-1350

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7874
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
255780099
ME
Enumeration date
09/15/2006
Last updated
09/12/2008
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