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Individual

ELIZABETH M DOSTIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
93 SILVER ST, WATERVILLE, ME 04901-5923
(207) 873-2330
(207) 873-3795
Mailing address
93 SILVER ST, WATERVILLE, ME 04901-5923
(207) 873-2330
(207) 873-3795

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSWLC7176
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432092199
ME
Enumeration date
06/04/2006
Last updated
03/11/2015
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