Individual
TROI ALLISON BOULANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
836 MAIN ST, WESTBROOK, ME 04092-2861
(207) 761-1160
(207) 761-1160
Mailing address
95 PARKER ST, NEWBURYPORT, MA 01950-4033
(978) 225-2250
(978) 225-2251
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC6759
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047604
ANTHEM BC BS
—
01
—
LC6769
LICENSE
—
Enumeration date
12/01/2005
Last updated
07/19/2010
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