Individual
DARRELL ALEXANDER CARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, MS, LCSW
Contact information
Practice address
100 GANNETT DR, SOUTH PORTLAND, ME 04106-5900
(207) 899-8403
Mailing address
100 GANNETT DR, SOUTH PORTLAND, ME 04106-5900
(207) 899-8403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10507
ME
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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