Individual
SUZANNE M COBLEIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 TANDBERG TRL, WINDHAM, ME 04062-5206
(207) 233-1745
Mailing address
110 TANDBERG TRL, WINDHAM, ME 04062-5206
(207) 233-1745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10975
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432556099
—
ME
Enumeration date
05/01/2007
Last updated
02/07/2012
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