Individual
SARA D FILLIETTAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
57 PORTLAND RD, UNIT #7, KENNEBUNK, ME 04043-6661
(207) 632-8529
Mailing address
95 PARKER ST, NEWBURYPORT, MA 01950-4033
(978) 225-2250
(978) 225-2251
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC8788
ME
Other
Enumeration date
10/02/2006
Last updated
05/18/2011
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