Individual
SUSAN CALDWELL BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 FRONT ST, BATH, ME 04530-2562
(207) 442-7455
Mailing address
11 HARBOR RIDGE RD, WEST BATH, ME 04530-6526
(207) 443-2541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
712
ME
Other
Enumeration date
08/14/2006
Last updated
07/09/2007
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