Individual
MS. MIA LOREN YARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
123 ANDOVER RD, WESTBROOK, ME 04092-3848
(207) 661-6071
(207) 661-6056
Mailing address
123 ANDOVER RD, WESTBROOK, ME 04092-3848
(207) 662-6071
(408) 876-4230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13996
CA
1041C0700X
Clinical Social Worker
Primary
LC12348
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3540
COUNTY ID
CA
Enumeration date
11/16/2006
Last updated
12/16/2019
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