Doctor Name: | SERITA COREY-CHILDS |
NPI Number: | 1780890566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC7028 |
Business Practice Address: | 81 Main St Harrington, ME - 046433000 |
Business Phone Number: | 2074834502 |
Business Fax Number: | 2074834778 |
Mailing Address: | Po Box 82, HARRINGTON |
State: | ME |
Postal Code: | 046430082 |
Phone Number: | 2074834502 |
Fax Number: | 2074834778 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC7028 |
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 |