Individual
DEBORAH MAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
515 CITY BLVD STE B, WAYCROSS, GA 31501-8016
(912) 279-4400
(912) 449-4448
Mailing address
515 CITY BLVD STE B, WAYCROSS, GA 31501-8016
(912) 279-4400
(912) 449-4448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005550
GA
Other
Enumeration date
09/15/2015
Last updated
09/06/2022
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