Individual
KATHLEEN E STAWARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3526
(207) 879-3553
Mailing address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3526
(207) 879-3553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7481
ME
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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