Individual
MARY RIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 BAXTER BLVD, PORTLAND, ME 04101-1801
(207) 775-5671
Mailing address
11 BAXTER BLVD, PORTLAND, ME 04101-1801
(207) 775-5671
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15032
ME
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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