Individual
LAUREN S B HAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
149 NORTH STREET, 3200, WATERVILLE, ME 04901-6789
(207) 861-3500
(207) 861-6201
Mailing address
149 NORTH STREET, 3200, WATERVILLE, ME 04901-6789
(207) 861-3500
(207) 861-6201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC16780
ME
1041C0700X
Clinical Social Worker
LC16635
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124456066
—
ME
05
—
1760596480
—
SC
Enumeration date
10/30/2013
Last updated
08/26/2019
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