MS. PHYLLIS HAVENS, RD, LCSW

Social Worker - Clinical

Active Individual
NPI: 1528275385

Practice Address

40 SUMMER ST
Bangor, ME 04401

Phone: (207) 990-3896

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes LC6946 (ME)
Dietitian, Registered 133V00000X No D198 (ME)

Frequently Asked Questions

NPI 1528275385 is the National Provider Identifier for MS. PHYLLIS HAVENS, RD, LCSW, a Social Worker - Clinical provider located in Bangor, ME. This NPI was enumerated on May 17, 2007.
MS. PHYLLIS HAVENS, RD, LCSW practices at 40 SUMMER ST, Bangor, ME 04401.

Quick Facts

NPI
1528275385
Type
Individual
Enumerated
May 17, 2007
Last Updated
Sep 11, 2025

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