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Individual

MRS. HEIDI MARIE PLOURDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC, LSW

Contact information

Practice address
263 MAIN ST, SUITE 1, CORINTH, ME 04427-3023
(207) 478-0566
Mailing address
17 S TIERY ST, OLD TOWN, ME 04468-1830
(207) 827-9451

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3186
ME
104100000X
Social Worker
LS6383
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
199500000
ME
05
432941199
ME
Enumeration date
04/06/2007
Last updated
01/25/2013
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