Individual
STEPHANIE ANN ZAIDLICZ GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12 HIDDEN CREEK DR, SCARBOROUGH, ME 04074-8478
(207) 408-8295
Mailing address
12 HIDDEN CREEK DR, SCARBOROUGH, ME 04074-8478
(207) 408-8295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6331
CT
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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