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NPI 1558418319

NPI 1558418319 : DEBRA LEE SPRINGFIELD LCSW : WELLS, ME

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General NPI Number Information
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    NPI Number           |    1558418319
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    Entity Type          |    Individual 
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    Provider Name        |    DEBRA LEE SPRINGFIELD LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/04/2007
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    Last Update Date     |    10/31/2016
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Provider Practice Location Address
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    Address Line         |    43 SANFORD RD 
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    City                 |    WELLS
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    State                |    ME
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    Zip                  |    04099-7001
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    Country              |    US
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    Telephone            |    207-752-3741
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    31 RODIER RD 
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    City                 |    SOUTH BERWICK
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    State                |    ME
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    Zip                  |    03908-2007
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    Country              |    US
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    Telephone            |    207-384-5089
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    1025
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    License Number State |    NH
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    LC6123
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    License Number State |    ME
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