Individual
KAREN AMANDA DEGRANDPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
100 CAMPUS DR, UNIT 107, SCARBOROUGH, ME 04074-9692
(207) 885-7565
(207) 885-7577
Mailing address
39 WALLACE AVE, SOUTH PORTLAND, ME 04106-6143
(207) 761-0650
(207) 761-8198
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC11270
ME
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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