Individual
LOUISE M GEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
24 GARDINER ST, RICHMOND, ME 04357-1336
(207) 737-4359
(207) 737-4412
Mailing address
24 GARDINER ST, RICHMOND, ME 04357-1336
(207) 737-4359
(207) 737-4412
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC78
ME
Other
Enumeration date
11/13/2009
Last updated
11/21/2012
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