Individual
MS. MARTHA E WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,MS MED
Contact information
Practice address
304 HANCOCK STREET, BANGOR, ME 04401
(207) 862-2515
Mailing address
304 HANCOCK STREET, BANGOR, ME 04401
(207) 862-2515
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6642
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431509799
—
ME
Enumeration date
12/11/2007
Last updated
09/04/2012
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