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Individual

KAREN BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
525 MAIN ST, SOUTH PORTLAND, ME 04106-5457
(207) 874-1045
(207) 767-0995
Mailing address
525 MAIN ST, SOUTH PORTLAND, ME 04106-5457
(207) 874-1045
(207) 767-0995

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC14452
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164484093
ME
Enumeration date
04/15/2015
Last updated
04/15/2015
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