Individual
MS. ANNE LOUISE FUNDERBURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9 EVERETT ST, BRUNSWICK, ME 04011-2403
(207) 729-7710
(207) 729-7801
Mailing address
9 EVERETT ST, BRUNSWICK, ME 04011-2403
(207) 729-7710
(207) 729-7801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01039
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006274
ANTHEM BCBS
ME
Enumeration date
08/09/2005
Last updated
07/08/2007
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