Individual
STEPHANIE SUZANNE POULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
407 EAST AVE, LEWISTON, ME 04240-4776
(207) 615-5926
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1211
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC13650
ME
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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