Individual
KATHERINE ROBERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 HIGH ST, SUITE 3D, PORTLAND, ME 04101-2831
(207) 553-2260
Mailing address
76 WELLWOOD RD, PORTLAND, ME 04103-4232
(207) 400-4160
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC12994
ME
Other
Enumeration date
04/25/2016
Last updated
07/09/2016
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