Individual
MUSE Y ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
180 PARK AVE, FIRST FLOOR, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 874-2164
Mailing address
389 CONGRESS ST, ROOM 307, PORTLAND, ME 04101-3566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC13799
ME
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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