Individual
ASHLEY D HAVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
50 LYDIA LN, SOUTH PORTLAND, ME 04106-2156
(207) 560-7153
Mailing address
50 LYDIA LN, SOUTH PORTLAND, ME 04106-2156
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC17104
ME
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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