Andrew Newton Capone-sprague LMSW-CC

NPI 1790043909 - Social Worker - 1041C0700X

NPI Details
NPI 1790043909
Gender Male
Enumeration Date 04/25/2012
Last Updated 04/25/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
6 GERRY AVE
SOUTH PORTLAND ME, 04106-6103, US
Phone (207) 423-0099
Fax
Business Location
6 GERRY AVE
SOUTH PORTLAND ME, 04106-6103, US
Phone (207) 423-0099
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Maine
License Number MC13235
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According to our database, Mr. Andrew Newton Capone-sprague LMSW-CC NPI is 1790043909, taxonomy code is 1041C0700X and license number is MC13235, license state is located at Maine. Andrew Newton Capone-sprague LMSW-CC physically located at 6 Gerry Ave, South Portland ME, 04106-6103. NPI Number Andrew Newton Capone-sprague LMSW-CC has the Individual type.

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1790043909 NPI number is provided on an as is basis without warranty of any kind. 1790043909 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew Newton Capone-sprague LMSW-CC are for informational purposes only.