Doctor Name: | HEATHER L MACDUFFIE |
NPI Number: | 1457336828 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC6804 |
Business Practice Address: | 348 Billings Rd Hermon, ME - 044010415 |
Business Phone Number: | 2078480929 |
Business Fax Number: | 2078480918 |
Mailing Address: | 348 Billings Rd, HERMON |
State: | ME |
Postal Code: | 044010415 |
Phone Number: | 2078480929 |
Fax Number: | 2078480918 |
NPI Enumeration Date: | 12/08/2005 |
NPI Last Update Date: | 11/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC6804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |