Individual
KAREN HEROUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1321 WASHINGTON AVE, SUITE 106, PORTLAND, ME 04103-3636
(888) 806-8801
(888) 806-8801
Mailing address
PO BOX 7043, SCARBOROUGH, ME 04070-7043
(888) 806-8801
(888) 806-8801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6631
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432148799
—
ME
Enumeration date
10/31/2006
Last updated
09/07/2011
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