Individual
MR. DOUGLAS E PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, JD
Contact information
Practice address
52 TRANQUIL LN, FREEPORT, ME 04032-6905
(207) 865-3560
Mailing address
52 TRANQUIL LN, FREEPORT, ME 04032-6905
(207) 650-4005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7181
ME
Other
Enumeration date
11/13/2010
Last updated
08/30/2022
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