Provider Demographics
NPI:1932690559
Name:CREMONA, LOUISE BRILLANT (MSW, CADC)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:BRILLANT
Last Name:CREMONA
Suffix:
Gender:F
Credentials:MSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 DUNN ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-6821
Mailing Address - Country:US
Mailing Address - Phone:207-784-2901
Mailing Address - Fax:
Practice Address - Street 1:24 DUNN ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-6821
Practice Address - Country:US
Practice Address - Phone:207-784-2901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker