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Individual

KATHLEEN R POITRAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHRT-C, LSW

Contact information

Practice address
24 SWEDEN ST, CARIBOU, ME 04736-2127
(207) 493-3316
(207) 492-4889
Mailing address
24 SWEDEN ST, CARIBOU, ME 04736-2127
(207) 493-3316
(207) 492-4889

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154708048
ME
Enumeration date
04/30/2015
Last updated
04/30/2015
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