Individual
MS. SUSAN A ANZIVINO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
131 FRANKLIN HEALTH CMNS, STE A, FARMINGTON, ME 04938-6142
(207) 778-0035
(207) 778-6879
Mailing address
131 FRANKLIN HEALTH CMNS, STE A, FARMINGTON, ME 04938-6142
(207) 778-0035
(207) 778-6879
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC433
ME
Other
Enumeration date
10/17/2005
Last updated
07/08/2007
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