Individual
MARGARET DEROSE BRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LSW
Contact information
Practice address
254 WESTERN AVE, SOUTH PORTLAND, ME 04106-2410
(207) 661-0440
(207) 661-0444
Mailing address
190 RIVERSIDE ST UNIT 6B, PORTLAND, ME 04103-1073
(207) 661-2000
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC1208
ME
104100000X
Social Worker
LS4051
ME
Other
Enumeration date
12/15/2006
Last updated
06/11/2019
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