Individual
SAMUEL C LAROUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW-CC
Contact information
Practice address
100 CAMPUS AVE STES A&B, LEWISTON, ME 04240
Mailing address
PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8950
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC18122
ME
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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