Organization
ART OF AWARENESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDA M. O'DONNELL L.C.S.W. (DIRECTOR)
(207) 799-1331
Entity
Organization
Contact information
Practice address
813 BROADWAY, SOUTH PORTLAND, ME 04106-2708
(207) 799-1331
(207) 799-1350
Mailing address
813 BROADWAY, SOUTH PORTLAND, ME 04106-2708
(207) 799-1331
(207) 799-1350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4676
ME
Other
Enumeration date
02/02/2007
Last updated
05/17/2012
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