Individual
SAMUEL C. HARVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1321 WASHINGTON AVE STE 304, PORTLAND, ME 04103-3675
(603) 361-5174
(207) 221-9986
Mailing address
1321 WASHINGTON AVE STE 304, PORTLAND, ME 04103-3675
(603) 361-5174
(207) 221-9986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC14498
ME
Other
Enumeration date
12/15/2011
Last updated
03/29/2018
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