Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | LC12493 | ME |
NPI | 1003033358 |
---|---|
Provider Name | Lauren M Torch |
First Address | Sanford, ME 04073 |
Second Address | Sanford, ME 04073 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 30/06/2011 |