Individual
BETH E EILERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20 PORTLAND ST, PORTLAND, ME 04101-2912
(207) 874-8445
(207) 874-8975
Mailing address
389 CONGRESS ST, ROOM 307, PORTLAND, ME 04101-3566
(207) 874-8784
(207) 874-8913
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11723
ME
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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