Individual
SUSAN GIBBONS SPECTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
42 MALLETT DR # 2, SUITE 4, FREEPORT, ME 04032-1355
(207) 865-4547
Mailing address
42 MALLETT DR # 2, SUITE 4, FREEPORT, ME 04032-1355
(207) 865-4547
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11578
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432049699
—
ME
Enumeration date
01/22/2007
Last updated
11/30/2008
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