Individual
MR. DAVID EDWARD WHITESIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, PH.D.
Contact information
Practice address
39 BARIBEAU DR, BRUNSWICK, ME 04011-3242
(207) 729-7105
Mailing address
39 BARIBEAU DR, BRUNSWICK, ME 04011-3242
(207) 729-7105
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4627
ME
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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