Individual
LAWRENCE JOEL HERDADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
195 NORTH ST, PORTLAND, ME 04101-2734
(207) 874-8228
(207) 874-8234
Mailing address
195 NORTH ST, PORTLAND, ME 04101-2734
(207) 874-8228
(207) 874-8234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC1169
ME
1041S0200X
School Social Worker
Primary
LC1169
ME
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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