Individual
KRISTEN BREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
180 US ROUTE 1, SCARBOROUGH, ME 04074-9073
(207) 289-3553
Mailing address
180 US ROUTE ONE, SCARBOROUGH, ME 04074-9041
(207) 289-3553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC16403
ME
1041C0700X
Clinical Social Worker
MC14918
ME
Other
Enumeration date
10/02/2014
Last updated
07/21/2022
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