Individual
MS. PRISCILLA I BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
205 OCEAN AVENUE, PORTLAND, ME 04103
(207) 775-1335
(207) 773-5512
Mailing address
215 HIGH ST, #305, SOUTH PORTLAND, ME 04106
(207) 939-6133
(207) 799-0755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5019
ME
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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