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NPI Code Detail

MEDICARE: MS. BARBARA SPERLING OWEN LCSW

MEDICARE: MS. BARBARA SPERLING OWEN 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 WorkerLC12529ME

General Provider Information

NPI Number : 1962517573
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA SPERLING OWEN LCSW
Provider Business Mailing Address
First Line : 78 ATLANTIC PL
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-2316
Country : US
Telephone Number : 207-842-7736
Fax Number : 207-842-7773
Provider Business Practice Location Address
First Line : 12 UNION ST
Second Line :
City : ROCKLAND
State : ME
Zip : 04841-2739
Country : US
Telephone Number : 207-842-6556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 05/01/2013

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