Individual
NICOLE SMELTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
899 RIVERSIDE ST, PORTLAND, ME 04103
(207) 871-1211
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC14192
ME
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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