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Individual

EDITH T. DUBORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LADC

Contact information

Practice address
30 FOREST FALLS DR STE 1, YARMOUTH, ME 04096-6983
(207) 712-6739
(207) 865-0597
Mailing address
24 EMU ST, FREEPORT, ME 04032-6037
(207) 865-6862
(207) 865-0597

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3971
ME
1041C0700X
Clinical Social Worker
LC10813
ME

Other

Enumeration date
05/24/2007
Last updated
09/11/2025
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