PHILLIP SMITH

GORHAM, ME
NPI1790091973
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC3739)
Enumeration Date2010-08-25
Last Update Date2010-08-25
Business Address
-- PHILLIP SMITH
313 OSSIPEE TRL
GORHAM, ME 04038-2131
Phone number: 207-929-0135
Mailing Address
-- PHILLIP SMITH
313 OSSIPEE TRL
GORHAM, ME 04038-2131
Phone number: 207-929-0135