NPI 1003986340

Alicia M Willis, CAC

Practitioner Clinical Social Worker Portland, ME

Practice location

Address: 17 Bishop St, Portland, ME 04103-2659
Phone: (207) 871-1235
Fax: (207) 879-6161
Mailing address: 899 Riverside St, Portland, ME 04103-1070

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence CAC2998 (ME)

Other Social Worker providers in Maine →

Registry record

NPI: 1003986340
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.