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Individual

MARIA RUTH SERRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
68 TUTTLE DR, HARPSWELL, ME 04079-3948
(207) 833-5986
Mailing address
68 TUTTLE DR, HARPSWELL, ME 04079-3948
(207) 833-5986

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2611
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2411
MAINECARE
ME
Enumeration date
11/16/2009
Last updated
11/16/2009
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