Individual
MARGARETHE L. RODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 FODEN RD. WEST, SUITE 303, SOUTH PORTLAND, ME 04106-2327
(207) 523-3767
(207) 523-8596
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 828-0361
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5596
ME
Other
Enumeration date
08/30/2006
Last updated
02/27/2019
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