Individual
KATHERINE IMMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
(207) 660-4529
Mailing address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
(207) 660-4529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC16357
ME
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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