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Individual

MRS. DEBRA ELLEN LEVENSELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
325C KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4517
(207) 692-4660
Mailing address
44 DIRIGO RD, BELGRADE, ME 04917-3255
(207) 692-4660

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC12752
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432819899
ME
Enumeration date
05/01/2008
Last updated
09/02/2021
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