MEDICARE: MR. DAVID PAUL COTE MSW 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
1	1041C0700X	Clinical Social Worker	LC399	ME

General Provider Information

NPI Number	:	1952858474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID PAUL COTE MSW LCSW

Provider Business Mailing Address
First Line	:	PO BOX 372
Second Line	:
City	:	LIMESTONE
State	:	ME
Zip	:	04750-0372
Country	:	US
Telephone Number	:	207-325-4202
Fax Number	:

Provider Business Practice Location Address
First Line	:	138 FRANCK RD
Second Line	:
City	:	CASWELL
State	:	ME
Zip	:	04750
Country	:	US
Telephone Number	:	207-325-4202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	09/01/2016

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