| Rose A Bradshaw, Lcsw, Pa | |
|
40 Forest Falls Dr Ste 3 Yarmouth ME 04096-6905 | |
| (207) 671-0305 | |
| (207) 669-4837 |
| Full Name | Rose A Bradshaw, Lcsw, Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 40 Forest Falls Dr Ste 3, Yarmouth, Maine |
| Authorized Official Name and Position | Rose A Bradshaw (PRESIDENT) |
| Authorized Official Contact | 2076710305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose A Bradshaw, Lcsw, Pa 137 Middle Rd Cumberland ME 04021-3710 Ph: (207) 671-0305 | Rose A Bradshaw, Lcsw, Pa 40 Forest Falls Dr Ste 3 Yarmouth ME 04096-6905 Ph: (207) 671-0305 |
| NPI Number | 1841767795 |
|---|---|
| Provider Enumeration Date | 10/30/2018 |
| Last Update Date | 10/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841767795 | NPI | - | NPPES |
| 1437239910 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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