Individual
MISS CAROLEANN MARY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30 SUMMER ST STE 5, BANGOR, ME 04401-6467
(207) 778-1971
Mailing address
79 MILDRED AVE, BANGOR, ME 04401-4326
(207) 778-1971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC14921
ME
1041C0700X
Clinical Social Worker
ISW02516
RI
Other
Enumeration date
12/03/2012
Last updated
10/31/2023
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