Individual
OLGA ALICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 874-2164
Mailing address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 874-2164
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC13087
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432723599
—
ME
Enumeration date
04/06/2010
Last updated
01/19/2016
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