Individual
MR. WILLIAM EDWARD BOLDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
18 COMMON ST STE 3, WATERVILLE, ME 04901-6678
(207) 877-9222
(207) 872-5888
Mailing address
18 COMMON ST STE 3, WATERVILLE, ME 04901-6678
(207) 877-9222
(207) 872-5888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC8125
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267730099
—
ME
01
—
LC8125
LCSW LICENSE
ME
Enumeration date
11/06/2006
Last updated
06/22/2009
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