Individual
PATRICIA M. DESCHAMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
453 US ROUTE 1, KITTERY, ME 03904-5513
(207) 451-1750
(207) 439-4360
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 842-7701
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC9079
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418310099
—
ME
Enumeration date
07/31/2006
Last updated
11/01/2012
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