Individual
CAROLINE LOUISE DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
12 WESTBROOK CMN, WESTBROOK, ME 04092-2819
(207) 856-1500
(207) 856-1518
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 842-7701
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3147
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418000099
—
ME
Enumeration date
09/12/2006
Last updated
05/09/2013
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