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Individual

PENNY J DOUPHINETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW-C

Contact information

Practice address
49 CONGRESS ST, RUMFORD, ME 04276-2014
(207) 364-7981
(207) 364-7983
Mailing address
240 TRAPP RD, AUBURN, ME 04210-8628
(207) 782-7210

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC10562
ME

Other

Enumeration date
12/01/2006
Last updated
07/08/2007
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