Individual
DR. HADASSA B. WISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, LCSW
Contact information
Practice address
32 SCHOOL STREET, THIRD FLOOR, ROCKLAND, ME 04841-2602
(207) 596-0955
(207) 596-0956
Mailing address
276 BROADWAY, ROCKLAND, ME 04841-2602
(207) 594-4484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9040
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035286
ANTHEM BCBS
ME
Enumeration date
12/05/2006
Last updated
07/08/2007
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