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NPI Code Detail

MEDICARE: COLLEEN MAIREAD MADIGAN LCSW

MEDICARE:   COLLEEN MAIREAD MADIGAN  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLC7314ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952317943
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN MAIREAD MADIGAN LCSW
Provider Business Mailing Address
First Line : 66 STONE ST
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-5227
Country : US
Telephone Number : 207-626-3455
Fax Number : 207-626-3612
Provider Business Practice Location Address
First Line : 66 STONE ST
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-5227
Country : US
Telephone Number : 207-626-3455
Fax Number : 207-626-3612
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 10/08/2013

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Directions to “ COLLEEN MAIREAD MADIGAN LCSW” Practice Location

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