Individual
KARRI E CLOHOSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
66 BARIBEAU DR, BRUNSWICK, ME 04011-3230
(207) 373-6950
(207) 373-6959
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 842-7700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC23599
ME
225700000X
Massage Therapist
MT2279
ME
225800000X
Recreation Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42207
TRS CERTIFICATION
—
Enumeration date
04/04/2007
Last updated
06/07/2024
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