Individual
ELANDA ISABELLA MARIQUITA ATENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
501 FOREST AVE, PORTLAND, ME 04101-1503
(207) 536-1591
Mailing address
162 MOUNT HUNGER SHORE RD, WINDHAM, ME 04062-5636
(207) 894-0497
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC23420
ME
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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