Individual
MARYBETH JAMES-O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
466 MAIN ST, SUITE #300, LEWISTON, ME 04240-6748
(207) 782-4209
(207) 333-3291
Mailing address
466 MAIN ST, SUITE #300, LEWISTON, ME 04240-6748
(207) 782-4209
(207) 333-3296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC2180
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211500000
—
ME
Enumeration date
01/04/2007
Last updated
01/23/2013
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