Individual
AUDREY J YEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
433 US ROUTE 1, SUITE 215, YORK, ME 03909-1659
(207) 337-5507
(207) 351-1975
Mailing address
433 US ROUTE 1, SUITE 215, YORK, ME 03909-1659
(207) 337-5507
(207) 351-1975
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11472
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266440099
—
ME
Enumeration date
08/04/2006
Last updated
09/09/2015
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