Libby, Gail Marie

Libby, Gail Marie is an individual health care provider with primary practice located at 300 Professional Dr Ste 2B2C , Scarborough ME 04074-8897. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Libby, Gail Marie can be contacted via phone (207) 883-3491.

Contact Information

Primary practice address
300 Professional Dr Ste 2B2C Scarborough ME 04074-8897
Phone: (207) 883-3491
Fax: (207) 885-5587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC5591 Maine

Profile Details

NPI number 1659438331
LBN Legal business name Libby, Gail Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jun 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659438331 NPPES
Maine MEDICAID 205250000

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