Alice M. Dunworth, LCSW
Social Worker, Clinical in Portland, ME. Individual provider (NPI-1).
NPI number1154625762
StatusActive
Last updated in NPPESSep 11, 2012
Details
- NPI
- 1154625762
- Entity type
- Individual (NPI-1)
- Name
- Alice M. Dunworth
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 23, 2010
- Last updated
- Sep 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LC4240 | ME | Yes |
Practice location
165 Lancaster StPortland, ME 04101-2406
Phone 207-874-1030 · Fax 207-874-1044
Mailing address
78 Atlantic PlSouth Portland, ME 04106-2316
Phone 207-842-7701 · Fax 207-842-7773
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