Individual
SARAH WALCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
143 POTTLE RD, OXFORD, ME 04270-3362
(207) 743-7911
Mailing address
64 CLARK ST APT 2, PORTLAND, ME 04102-4051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC18655
ME
Other
Enumeration date
07/31/2018
Last updated
06/04/2020
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