Individual
GREGORY MORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
343 FOREST AVE, PORTLAND, ME 04101-2006
(207) 874-1030
(207) 874-1009
Mailing address
78 ATLANTIC PLACE, SO PORTLAND, ME 04106-2316
(207) 842-6556
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11815
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433565099
—
ME
Enumeration date
05/20/2009
Last updated
02/02/2010
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