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Contact Information

THERESA F DE VRIES, MSW LCSW
23 COPELAND HILL ROAD
HOLDEN, ME04429
 Phone: 207-989-3688
 Fax: 207-989-1154
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for THERESA F DE VRIES · (Female)

NPI # 1194832865
Status Active
Credentials MSW LCSW
Entity Individual
Enumeration date 08/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ME License # LC433
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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