Individual
MIKAELA ANN COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FODEN RD, SOUTH PORTLAND, ME 04106-1717
(207) 951-8152
Mailing address
27 PARKSIDE DR, BIDDEFORD, ME 04005-9011
(207) 951-8152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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