Individual
MELISSA MARY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
901 WASHINGTON AVE, PORTLAND, ME 04103-2737
(207) 871-1200
Mailing address
901 WASHINGTON AVENUE, 100, PORTLAND, ME 04103
(207) 871-1200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC13812
ME
Other
Enumeration date
10/16/2012
Last updated
09/08/2016
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