Individual
SARA LOUISE DESROSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
112 11TH AVE, MADAWASKA, ME 04756-1201
(207) 295-7998
(207) 728-9239
Mailing address
112 11TH AVE, MADAWASKA, ME 04756-1201
(207) 295-7998
(207) 728-9239
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC8161
ME
1041C0700X
Clinical Social Worker
Primary
LC17780
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568875029
—
ME
Enumeration date
06/03/2014
Last updated
10/10/2024
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