Individual
ABIGAIL PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
393 SABATTUS ST, LEWISTON, ME 04240-5439
(207) 782-9551
(207) 784-6826
Mailing address
PO BOX 10187, ALBANY, NY 12201-5187
(207) 777-4111
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5089
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292050099
—
ME
Enumeration date
05/10/2006
Last updated
07/04/2011
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