Individual
KATHLEEN O'TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
95 INDIA ST, PORTLAND, ME 04101-4250
(207) 641-5417
Mailing address
201 MARINER WAY # 1040, BIDDEFORD, ME 04005-9437
(207) 641-5417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC18957
ME
Other
Enumeration date
08/21/2020
Last updated
04/17/2024
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