Healthcare Provider Details

I. General information

NPI: 1437290558
Provider Name (Legal Business Name): MARA T BEST LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAYA T BEST

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 FRANKLIN ST
RUMFORD ME
04276-2104
US

IV. Provider business mailing address

430 FRANKLIN ST
RUMFORD ME
04276-2104
US

V. Phone/Fax

Practice location:
  • Phone: 207-369-0146
  • Fax: 207-364-8626
Mailing address:
  • Phone: 207-369-0146
  • Fax: 207-364-8626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC5851
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: