Individual
CAMERON MAXWELL IVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW,LCSW
Contact information
Practice address
86 TANDBERG TRL, WINDHAM, ME 04062-5841
(207) 893-0386
(207) 893-2086
Mailing address
PO BOX 1360, WINDHAM, ME 04062-1360
(207) 893-0386
(207) 893-2086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4866
ME
Other
Enumeration date
11/30/2006
Last updated
10/14/2015
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