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Individual

DR. SUSANNE CARROLL DUFFY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
471 GIN COVE RD, PERRY, ME 04667-3034
(207) 853-7246
Mailing address
PO BOX 351, PERRY, ME 04667-0351
(207) 853-0644
(207) 853-6230

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS945
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
292150099
ME
Enumeration date
05/20/2008
Last updated
07/02/2024
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