Individual
MS. ROBERTA LEE ZUCKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
46 PROSPECT ST, PORTLAND, ME 04103-4018
(207) 761-9709
Mailing address
46 PROSPECT ST, PORTLAND, ME 04103-4018
(207) 761-9709
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LC4516
ME
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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