Individual
KATHERINE D. BALTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
9 HASTINGS ST, PORTLAND, ME 04102-2015
(207) 232-3759
Mailing address
25 NEWMAN ST, PORTLAND, ME 04103-1721
(207) 797-3816
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5649
ME
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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