Individual
MR. CHRISTOPHER PAUL BEAUDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
15 RANGE WAY SUITE 3, MANCHESTER, ME 04351
(207) 622-1404
(207) 623-7637
Mailing address
154 GIBBS MILL RD, LIVERMORE, ME 04253-3414
(207) 320-0632
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC8210
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432638599
—
ME
Enumeration date
08/22/2007
Last updated
11/02/2011
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