Individual
ELLEN MARTZIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15 SAUNDERS WAY, WESTBROOK, ME 04092-4833
(207) 878-9663
(207) 797-6137
Mailing address
PO BOX 1768, PORTLAND, ME 04104-1768
(207) 878-9663
(207) 797-6137
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6882
ME
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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