| Emerge & Transform | |
|
174 Broadway Ste 2 Farmington ME 04938-5911 | |
| (207) 860-4447 | |
| Not Available |
| Full Name | Emerge & Transform |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 174 Broadway Ste 2, Farmington, Maine |
| Authorized Official Name and Position | Mary Small (OWNER/LCSW) |
| Authorized Official Contact | 2078604447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerge & Transform 174 Broadway Ste 2 Farmington ME 04938-5911 Ph: () - | Emerge & Transform 174 Broadway Ste 2 Farmington ME 04938-5911 Ph: (207) 860-4447 |
| NPI Number | 1104501436 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104501436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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