Alicia M Willis CAC

NPI 1003986340 - Social Worker - 1041C0700X

NPI Details
NPI 1003986340
Gender Female
Enumeration Date 11/08/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
17 BISHOP ST
PORTLAND ME, 04103-2659, US
Phone (207) 871-1235
Fax (207) 879-6161
Business Location
899 RIVERSIDE ST
PORTLAND ME, 04103-1070, US
Phone (207) 871-1200
Fax (207) 871-1232
Toxanomy
Taxonomy Code 1041C0700X
License State Maine
License Number CAC2998
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According to our database, Alicia M Willis CAC NPI is 1003986340, taxonomy code is 1041C0700X and license number is CAC2998, license state is located at Maine. Alicia M Willis CAC physically located at 17 Bishop St, Portland ME, 04103-2659. NPI Number Alicia M Willis CAC has the Individual type.

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1003986340 NPI number is provided on an as is basis without warranty of any kind. 1003986340 is maintained by the National Plan & Provider Enumeration System. The contents of Alicia M Willis CAC are for informational purposes only.