Dr ELLEN H THEODORES is a female medical professional, specializing in Clinical Social Worker. She graduated in 2010.
MAINEHEALTH
5 BUCKNAM RD
2C
FALMOUTH
ME
041051209
Tel: 2077811500
| Npi | 1801197827 |
| Pac Id | 5698096576 |
| Professional Enrollment Id | I20150603002417 |
| Last Name | THEODORES |
| First Name | ELLEN |
| Middle Name | H |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2010 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
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| Organization Legal Name | MAINEHEALTH |
| Group Practice Pac Id | 7517860588 |
| Number Of Group Practice Members | 1079 |
| Line 1 Street Address | 5 BUCKNAM RD |
| Line 2 Street Address | 2C |
| Marker Of Address Line 2 Suppression | |
| City | FALMOUTH |
| State | ME |
| Zip Code | 041051209 |
| Phone Number | 2077811500 |
| Hospital Affiliation Ccn 1 | 200009 |
| Hospital Affiliation Lbn 1 | MAINE MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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