Ilvonen, Marie Ann
Ilvonen, Marie Ann is an individual health care provider with primary practice located at 12 Union St , Rockland ME 04841-2739. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ilvonen, Marie Ann can be contacted via phone (207) 701-4477.Contact Information
Primary practice address
12 Union St
Rockland ME 04841-2739
Phone: (207) 701-4477
Fax: (207) 701-4486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC3119 | Maine |
Profile Details
| NPI number | 1932377389 |
|---|---|
| LBN Legal business name | Ilvonen, Marie Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2008 |
| Last updated | Nov 2nd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932377389 | NPPES |
| Maine | MEDICAID | 104540000 | |
| Maine | MEDICAID | 208130099 |
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