Individual
MRS. REGIS MARIE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
77 HARRIS ST, AUBURN, ME 04210
(207) 782-6827
(207) 376-0090
Mailing address
PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8950
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11547
ME
Other
Enumeration date
07/16/2014
Last updated
04/08/2019
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