Phillip Smith
Clinical Social Worker in Gorham, ME(View on Map)
Full Name
Phillip Smith
NPI Number
1790091973
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/25/2010
Specialties
(Taxonomies)Licenses
State
Maine
License Number
LC3739
Contact
Information
Purpose
Mailing
Location
Address
313 OSSIPEE TRL
313 OSSIPEE TRL
City
Gorham
Gorham
State
ME
ME
Postal Code
04038-2131
04038-2131
Country
US
US
Telephone Number
(207) 929-0135
(207) 929-0135
Identifiers
Identifier
435655099
Identifier State
ME
Identifier Issuer
PROVIDER ENROLLMENT
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/25/2010