Individual
MS. CARLA JANE MOWATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
9 HILLCREST AVENUE, RANDOLPH, ME 04346
(207) 582-9206
Mailing address
33 LINWOOD AVE, AUGUSTA, ME 04330-4126
(207) 446-0224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC11701
ME
Other
Enumeration date
07/28/2008
Last updated
04/13/2012
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