Individual
OLIVIA TESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
306 SHAKER RD, GRAY, ME 04039-9674
(310) 908-8488
Mailing address
4 PROSPECTOR LN, SCARBOROUGH, ME 04074-7103
(603) 520-1490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC16540
ME
Other
Enumeration date
02/21/2017
Last updated
06/13/2019
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