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Individual

CAROLINE SCHLUGE HOUPPERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4737
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
34005678A
IN
101YM0800X
Mental Health Counselor
34005687A
IN
1041C0700X
Clinical Social Worker
34005687A
IN
1041C0700X
Clinical Social Worker
Primary
LC21954
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100182650
IN
Enumeration date
07/12/2006
Last updated
04/21/2023
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