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Organization

PAINTED HORSES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
APRIL CLOUTIER LCSW (SOLE PROPRIETOR)
(207) 837-7671
Entity
Organization

Contact information

Practice address
95 MCLAIN ROAD, LIBERTY, ME 04949-3715
(207) 837-7671
(207) 737-7137
Mailing address
95 MCLAIN ROAD, LIBERTY, ME 04949-3715
(207) 837-7671
(207) 737-7137

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC8501
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
333090099
ME
01
ME0962
MEDICARE ID TYPE UNSPECIFIED
ME
Enumeration date
07/19/2010
Last updated
09/26/2022
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