| Peters Professional Association Llc | |
|
31 Bramhall St Portland ME 04102-3101 | |
| (207) 799-0092 | |
| (207) 699-4321 |
| Full Name | Peters Professional Association Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 31 Bramhall St, Portland, Maine |
| Authorized Official Name and Position | Anne Peters (OWNER) |
| Authorized Official Contact | 2077990092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peters Professional Association Llc 31 Bramhall St Portland ME 04102-3101 Ph: (207) 799-0092 | Peters Professional Association Llc 31 Bramhall St Portland ME 04102-3101 Ph: (207) 799-0092 |
| NPI Number | 1265769384 |
|---|---|
| Provider Enumeration Date | 11/10/2009 |
| Last Update Date | 12/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265769384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC4750 (Maine) | Primary |
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