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Individual

EMMA GLENN GERROL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
37 ANDOVER RD, PORTLAND, ME 04102-1936
(207) 661-3600
(207) 761-0783
Mailing address
37 ANDOVER RD, PORTLAND, ME 04102-1936
(207) 661-3600
(207) 761-0783

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
3054
NH
1041C0700X
Clinical Social Worker
Primary
LC24194
ME

Other

Enumeration date
09/01/2023
Last updated
03/17/2025
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