Individual
CAROLYN SUGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 SHORE RD, BLDG # 326, CAPE ELIZABETH, ME 04107-1916
(207) 409-6441
Mailing address
186 S RICHLAND ST, SOUTH PORTLAND, ME 04106-4728
(207) 409-6441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7697
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315540099
—
ME
Enumeration date
09/28/2006
Last updated
05/22/2012
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