Organization
LINCOLNHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY A MILLER (VP-PHYSICIAN SERVICES)
(207) 563-4383
Entity
Organization
Contact information
Practice address
19 SAINT ANDREWS LN, BOOTHBAY HARBOR, ME 04538-1732
(207) 633-7820
Mailing address
PO BOX 745, NEWCASTLE, ME 04553-0745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC14273
ME
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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