Individual
KATHERINE ELIZABETH BOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1295 ATLANTIC HWY., NORTHPORT, ME 04849-3600
(207) 470-7090
(207) 470-7094
Mailing address
1295 ATLANTIC HWY, NORTHPORT, ME 04849-3600
(207) 470-7090
(207) 470-7094
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC13400
ME
1041C0700X
Clinical Social Worker
LSX9781
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104000000
—
ME
Enumeration date
12/05/2006
Last updated
03/01/2012
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