Individual
CORIE WASHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CLIFF AVE, FREEPORT, ME 04032-6134
(207) 504-4334
Mailing address
182 SNOW RD, DURHAM, ME 04222-5120
(207) 504-4334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL5209
ME
Other
Enumeration date
04/06/2019
Last updated
04/06/2019
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