Individual
REBA ANNE PARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW-CC
Contact information
Practice address
42 CEDAR ST, BANGOR, ME 04401-6433
(207) 947-0366
(207) 942-9290
Mailing address
42 CEDAR ST, BANGOR, ME 04401-6433
(207) 947-0366
(207) 942-9290
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC15395
ME
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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