Individual
MRS. CAROLE WALKER TRICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
162 PERHAM ST, FARMINGTON, ME 04938-1523
(207) 778-4329
Mailing address
162 PERHAM ST, P.O. BOX 42, FARMINGTON, ME 04938-1523
(207) 778-4329
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11390
ME
Other
Enumeration date
08/19/2008
Last updated
10/15/2012
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