Individual
TAYLOR WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
41 DONALD B DEAN DR STE A, SOUTH PORTLAND, ME 04106-3252
(207) 661-6064
(207) 253-6073
Mailing address
41 DONALD B DEAN DR STE A, SOUTH PORTLAND, ME 04106-3252
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC19308
ME
1041C0700X
Clinical Social Worker
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Other
Enumeration date
06/06/2018
Last updated
01/11/2021
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