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NPI Code Detail

MEDICARE: BETH STINSON LCSW

MEDICARE: BETH STINSON 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 WorkerLC6717ME

General Provider Information

NPI Number : 1972516300
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH STINSON LCSW
Provider Business Mailing Address
First Line : 26 EIDER LN
Second Line :
City : TOPSHAM
State : ME
Zip : 04086-1504
Country : US
Telephone Number : 207-729-4773
Fax Number : 207-284-5551
Provider Business Practice Location Address
First Line : 1155 LISBON ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-5025
Country : US
Telephone Number : 207-787-1155
Fax Number : 207-284-5551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 07/09/2007

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Directions to “ BETH STINSON LCSW” Practice Location

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