Individual
DOROTHY CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
100 US HWY ONE, SUITE 4, VERONA ISLAND, ME 04416-1881
(207) 469-1013
Mailing address
PO BOX 1881, BUCKSPORT, ME 04416-1881
(207) 469-1013
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC1986
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227910099
MAINECARE PROVIDER
ME
Enumeration date
08/20/2006
Last updated
02/18/2015
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