Individual
MS. CHERYL MARTHA RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 STATE ST, ELLSWORTH, ME 04605-1923
(297) 667-2998
(207) 667-6998
Mailing address
75 STATE ST, ELLSWORTH, ME 04605-1923
(207) 667-2998
(207) 667-6998
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6225
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40557
MAGELLAN BEHAVIORAL HEATH
ME
Enumeration date
06/24/2005
Last updated
11/19/2012
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