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Polly Margaret Colvin, LCSW

Social Worker, Clinical in Ocean Park, ME. Individual provider (NPI-1).

NPI number1417468331
StatusActive
Last updated in NPPESApr 27, 2020

Details

NPI
1417468331
Entity type
Individual (NPI-1)
Name
Polly Margaret Colvin
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 18, 2017
Certification date
Apr 27, 2020
Last updated
Apr 27, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalLC7544MEYes

Practice location

61 Colby Avenue
Ocean Park, ME 04063

Phone 207-934-5450

Mailing address

Po Box 7385
Ocean Park, ME 04063-7385

Phone 207-934-5450

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