Individual
KAREN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
56 MAINE ST, BRUNSWICK, ME 04011-2016
(218) 556-6060
Mailing address
51 JORDAN AVE, BRUNSWICK, ME 04011-1612
(218) 556-6060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC 4407
ME
Other
Enumeration date
01/24/2009
Last updated
12/27/2012
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