Individual
MRS. ANNE MARIE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
71 HOSPITAL ST, AUGUSTA, ME 04330-6617
(207) 623-2279
Mailing address
13 SUNSET SHORES RD, NEW GLOUCESTER, ME 04260-2822
(207) 926-4774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9428
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432072999
—
ME
Enumeration date
09/16/2006
Last updated
07/08/2007
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