Individual
MS. EILEEN M. BOARDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 CUMBERLAND ST, BRUNSWICK, ME 04011-1932
(207) 841-2292
Mailing address
10 CUMBERLAND ST, BRUNSWICK, ME 04011-1932
(207) 841-2292
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5763
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286770099
—
ME
Enumeration date
04/07/2006
Last updated
03/21/2011
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