Individual
KATIE R BOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 CENTRAL AVE, LEWISTON, ME 04240-6031
(207) 795-4180
(207) 753-6419
Mailing address
75 CENTRAL AVE, LEWISTON, ME 04240-6031
(207) 795-4180
(207) 753-6419
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
120099
MA
1041C0700X
Clinical Social Worker
Primary
LC16055
ME
Other
Enumeration date
08/08/2018
Last updated
01/10/2019
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