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Individual

MISS ROBIN ELIZABETH DEATRICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW., CH

Contact information

Practice address
22 FARWELL ST, LISBON, ME 04250-6824
(207) 353-8118
Mailing address
88 LITTLEFIELD RD, LISBON, ME 04250-6009
(207) 740-7477

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LM12840
ME

Other

Enumeration date
10/30/2011
Last updated
10/30/2011
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