Individual
KRISTIN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
94 AUBURN ST STE 109, PORTLAND, ME 04103-2141
(207) 347-0312
Mailing address
94 AUBURN ST STE 109, PORTLAND, ME 04103-2141
(207) 347-0312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4562
ME
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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