RICHARD ALAN WAITZKIN

PORTLAND, ME
NPI1710011424
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ME  LC1096)
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
MR. RICHARD ALAN WAITZKIN MSW LCSW
12 GAY STREET
PORTLAND, ME 04103
Phone number: 207-774-5025
Mailing Address
MR. RICHARD ALAN WAITZKIN MSW LCSW
12 GAY STREET
PORTLAND, ME 04103
Phone number: 207-774-5025
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