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Individual

DOROTHY CHAISSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
169 PARK ROW, SUITE 7, BRUNSWICK, ME 04011
(207) 729-5426
(207) 725-2473
Mailing address
169 PARK ROW, SUITE 7, BRUNSWICK, ME 04011
(207) 729-5426
(207) 725-2473

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC8345
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
047729
ANTHEM
01
2106228
CIGNA
01
345589
MANAGED HEALTHNET
Enumeration date
10/11/2006
Last updated
07/08/2007
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