Most Relevant Information
Provider Data
| NPI Number: | 1003331380 |
| Provider Name: | NELL S WOODWORTH LMSW-CONDITIONAL |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | MC16513 |
Most Important Dates
| Enumeration Date: | 08/08/2017 |
| Last Updated: | 08/08/2017 |
Provider Practice Location
64 LISBON ST STE 1
LEWISTON
ME
042407116
Practice Location Phone/Fax
| Phone: | 2078711211 |
| Fax: | 2078711232 |
Provider Mailing Location
901 WASHINGTON AVE STE 100
PORTLAND
ME
041032842
Provider Mailing Phone/Fax
| Phone: | 2078711211 |
| Fax: | 2078711232 |