Individual
THERESA A PISCURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
93 CAMPUS AVE, SMRMC HIV AIDS CASE MGMT, LEWISTON, ME 04240-6030
(207) 777-8507
(207) 753-4168
Mailing address
PO BOX 1638, ALBANY, NY 12201-1638
(207) 777-4111
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LS6200
ME
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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