Individual
ALISE ANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
55 FODEN RD, SOUTH PORTLAND, ME 04106-1717
(207) 653-5585
Mailing address
9 LOWELL RD, GORHAM, ME 04038-1819
(845) 532-0556
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
MC21137
ME
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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