Individual
MS. TINA JUDY HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
145 NEWBURY ST, PORTLAND, ME 04101-4261
(207) 232-1092
Mailing address
54 HERSEY ST, PORTLAND, ME 04103-4508
(207) 232-1092
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10573
ME
Other
Enumeration date
02/23/2013
Last updated
02/23/2013
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