Individual
KATINA COLOMBOTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
19 CRESCENT LANE, BETHEL, ME 04217
(207) 824-2839
Mailing address
19 CRESCENT ST, BETHEL, ME 04217-4026
(207) 824-2839
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11170
ME
Other
Enumeration date
03/15/2007
Last updated
06/02/2009
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