Individual
SUSAN L BROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
24 STONE ST STE 201, AUGUSTA, ME 04330-5209
(207) 213-2161
Mailing address
24 STONE ST STE 201, AUGUSTA, ME 04330-5209
(207) 213-2161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC14487
ME
Other
Enumeration date
07/19/2011
Last updated
11/25/2019
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