Basic Information
Provider Information
NPI: 1790978708
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURCI
FirstName: CHRISTINE
MiddleName: M
NamePrefix: MS.
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 168 RANGE RD
Address2:  
City: CUMBERLAND
State: ME
PostalCode: 040213442
CountryCode: US
TelephoneNumber: 2078295353
FaxNumber: 2077836660
Practice Location
Address1: 156 EAST AVE
Address2:  
City: LEWISTON
State: ME
PostalCode: 042405626
CountryCode: US
TelephoneNumber: 2077954144
FaxNumber: 2077531783
Other Information
ProviderEnumerationDate: 08/22/2007
LastUpdateDate: 08/22/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041S0200XLC687MEY Behavioral Health & Social Service ProvidersSocial WorkerSchool

No ID Information.


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