Individual
MR. MAURICE DONALD WHITE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
82 NEWTON ST, PORTLAND, ME 04103-1535
(207) 200-1173
Mailing address
82 NEWTON ST, PORTLAND, ME 04103-1535
(207) 402-2354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC20451
ME
Other
Enumeration date
09/03/2016
Last updated
06/06/2024
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