Individual
ERICA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1155 LISBON ST, LEWISTON, ME 04240-5025
(207) 783-9141
Mailing address
PO BOX 2008, LEWISTON, ME 04241-2008
(207) 783-9141
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC5865
ME
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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