Individual
MRS. ALLISON RUTH CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
100 GANNETT DR, SOUTH PORTLAND, ME 04106-5900
(207) 854-1030
Mailing address
100 GANNETT DR, SOUTH PORTLAND, ME 04106-5900
(207) 854-1030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC15591
ME
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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