Healing Relationships | |
9 Everett St Brunswick ME 04011-2403 | |
(207) 729-7710 | |
(207) 729-7801 |
Full Name | Healing Relationships |
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Speciality | Social Worker |
Location | 9 Everett St, Brunswick, Maine |
Authorized Official Name and Position | Steven Harrison Klockow (CO-DIRECTOR) |
Authorized Official Contact | 2077297710 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Healing Relationships 9 Everett St Brunswick ME 04011-2403 Ph: (207) 729-7710 | Healing Relationships 9 Everett St Brunswick ME 04011-2403 Ph: (207) 729-7710 |
NPI Number | 1003081266 |
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Provider Enumeration Date | 04/28/2008 |
Last Update Date | 04/28/2008 |
Medicare PECOS PAC ID | 8426005679 |
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Medicare Enrollment ID | O20050331000493 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003081266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Steven Klockow |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770689168 PECOS PAC ID: 3173577079 Enrollment ID: I20050303000487 |
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