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Individual

EMILY SHAYNA OSTROW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
469 MAIN ST, SUITE 202, SPRINGVALE, ME 04083-1870
(207) 490-6600
(207) 490-6603
Mailing address
469 MAIN ST, SUITE 202, SPRINGVALE, ME 04083-1870
(207) 490-6600
(207) 490-6603

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
116664
MA
1041C0700X
Clinical Social Worker
Primary
LC14764
ME

Other

Enumeration date
07/22/2014
Last updated
07/22/2014
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