Individual
ELIANNA MANIATAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
62 PEGASUS ST STE 200, BRUNSWICK, ME 04011-5028
(207) 798-3922
Mailing address
259 NORRIDGEWOCK RD, FAIRFIELD, ME 04937-3179
(207) 692-3586
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LC24783
ME
1041C0700X
Clinical Social Worker
Primary
LC24783
ME
Other
Enumeration date
07/22/2022
Last updated
10/13/2025
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