Individual
TAN TWHIGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
901 WASHINGTON AVE, PORTLAND, ME 04103-2737
(207) 871-1211
Mailing address
901 WASHINGTON AVE, PORTLAND, ME 04103-2737
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MC15585
ME
1041C0700X
Clinical Social Worker
Primary
LC17107
ME
Other
Enumeration date
01/18/2016
Last updated
02/13/2019
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