Individual
MR. MATTHEW C SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
247 COMMERCIAL ST, SUITE C, ROCKPORT, ME 04856-5964
(207) 470-7090
Mailing address
247 COMMERCIAL ST, SUITE C, ROCKPORT, ME 04856-5964
(207) 470-7090
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC8373
ME
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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