Individual
EMILY RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 899-7584
Mailing address
49 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
MC17885
ME
1041C0700X
Clinical Social Worker
Primary
—
ME
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC17885
SOCIAL WORK LICENSE
ME
Enumeration date
10/17/2017
Last updated
01/23/2019
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