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Individual

MS. JULEEN ANN CHIARADONNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
4 MARKET PLACE DR, SUITE 202A, YORK, ME 03909-1698
(603) 387-4388
(603) 522-8768
Mailing address
4 MARKET PLACE DR, SUITE 202A, YORK, ME 03909-1698
(603) 387-4388
(603) 522-8768

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1440
NH
1041C0700X
Clinical Social Worker
Primary
LC13360
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003014301
MEDICARE PTAN
05
1619267010
ME
Enumeration date
04/19/2011
Last updated
07/16/2013
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