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NPI Code Detail

MEDICARE: CAREYLEAH MACLEOD LCSW

MEDICARE: CAREYLEAH MACLEOD 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 WorkerLC5651

General Provider Information

NPI Number : 1982663522
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAREYLEAH MACLEOD LCSW
Provider Business Mailing Address
First Line : PO BOX 225
Second Line :
City : VINALHAVEN
State : ME
Zip : 04863
Country : US
Telephone Number : 207-294-4657
Fax Number :
Provider Business Practice Location Address
First Line : 50 MOODY ST
Second Line :
City : SACO
State : ME
Zip : 04072-1536
Country : US
Telephone Number : 207-294-4657
Fax Number : 207-294-4649
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 03/03/2010

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Directions to “ CAREYLEAH MACLEOD LCSW” Practice Location

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