Individual
KATHERINE A BROUGH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
93 SECOND ST, HALLOWELL, ME 04347-1450
(207) 622-0303
(207) 622-0303
Mailing address
93 SECOND ST, HALLOWELL, ME 04347-1450
(207) 622-0303
(207) 622-0303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4539
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041688
BC/BS PIN
ME
Enumeration date
06/18/2006
Last updated
07/08/2007
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