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Individual

MRS. DESIREE DAWN BERNARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW-CC

Contact information

Practice address
155 CENTER ST # F, AUBURN, ME 04210-5229
(207) 329-5409
Mailing address
PO BOX 505, DIXFIELD, ME 04224
(207) 329-5409

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LM13312
ME
1041C0700X
Clinical Social Worker
Primary
MC13455
ME

Other

Enumeration date
12/05/2011
Last updated
01/11/2012
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