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Individual

LORRAINE KIMBALL SWENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
474 MAIN ST, SPRINGVALE, ME 04083-1409
(207) 324-1500
(207) 490-5263
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 842-7701
(207) 842-7773

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC3336
ME
101YP2500X
Professional Counselor
Primary
CC3336
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432108099
ME
Enumeration date
07/31/2006
Last updated
11/05/2012
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