Individual
KERI ROTHERMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
124 MAIN ST, TOPSHAM, ME 04086-1221
(207) 841-6649
Mailing address
PO BOX 373, TOPSHAM, ME 04086-0373
(207) 841-6649
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC8610
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255180099
—
ME
Enumeration date
05/01/2006
Last updated
06/28/2012
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