Individual
KATHY I MUZZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3 TOADS END, BELFAST, ME 04915-7328
(207) 338-9672
Mailing address
3 TOADS END, BELFAST, ME 04915-7328
(207) 338-9672
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC4817
ME
1041C0700X
Clinical Social Worker
Primary
LC4817
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210560099
—
ME
Enumeration date
09/01/2006
Last updated
12/14/2010
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