Individual
MS. NICOLE R HAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
19 LILLIAN WAY, SCARBOROUGH, ME 04074-7618
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6072
ME
Other
Enumeration date
05/31/2007
Last updated
08/25/2009
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