Organization
BLUESAGE THERAPIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE ROGNERUD L.C.S.W (OWNER)
(207) 798-1924
Entity
Organization
Contact information
Practice address
214 RAYMOND ROAD, BRUNSWICK, ME 04011
(207) 798-1924
(207) 729-7797
Mailing address
214 RAYMOND ROAD, BRUNSWICK, ME 04011
(207) 798-1924
(207) 729-7797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC 3157
ME
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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