Individual
CAROLE EWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
932 CONGRESS ST, PORTLAND, ME 04102-3032
(207) 662-3005
(207) 662-3863
Mailing address
932 CONGRESS ST, PORTLAND, ME 04102-3032
(207) 662-3005
(207) 662-3863
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6433
ME
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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