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Andrew Derstine, LCSW

NPI Number 1114051984

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Practice Location

  • 236a Portland Rd
    Bridgton, ME 4009
  • Phone: (207) 647-2400
  • Fax: (207) 647-2400

Business Location

  • Po Box 731
    Bridgton, ME 4009
  • Phone: (207) 647-2400
  • Fax: (207) 647-2400

Other Information

  • Enumeration date: 03/15/2007
  • Last updat date: 11/04/2008
  • NPI deactivation reason code:
  • NPI deactivation date: 01/01/1970
  • Taxonomy code: 101YM0800X
  • License number:
  • License number state code:
  • Primary taxonomy switch: Y

Practice Location Map

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NPI number 1114051984 is assigned to Andrew Derstine, Lcsw. Andrew Derstine, Lcsw is practice in Bridgton, ME 4009 with phone number 2076472400. The number of page view of Andrew Derstine, Lcsw is 44.

The NPI number above is maintained by the NPPES. To update the information please contact the National Plan & Provider Enumeration System.

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