Individual
BRETTON NEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 WATERMAN DR, ART OF AWARENESS, SOUTH PORTLAND, ME 04106
(207) 799-1331
Mailing address
100 WATERMAN DR, SOUTH PORTLAND, ME 04106-2880
(207) 799-1331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC15738
ME
Other
Enumeration date
05/31/2016
Last updated
09/27/2016
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