| Megan Boothby Lcsw Llc | |
|
222 Saint John St Ste 213 Portland ME 04102-3063 | |
| (207) 370-1238 | |
| (207) 835-0009 |
| Full Name | Megan Boothby Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 222 Saint John St Ste 213, Portland, Maine |
| Authorized Official Name and Position | Megan Boothby (PROVIDER/OWNER) |
| Authorized Official Contact | 2073701238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Boothby Lcsw Llc 222 Saint John St Ste 213 Portland ME 04102-3063 Ph: (207) 370-1238 | Megan Boothby Lcsw Llc 222 Saint John St Ste 213 Portland ME 04102-3063 Ph: (207) 370-1238 |
| NPI Number | 1790351922 |
|---|---|
| Provider Enumeration Date | 05/28/2021 |
| Last Update Date | 05/28/2021 |
| Certification Date | 05/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790351922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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