Individual
CARYN ALICE BOUTAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
276 WHITTEN RD, HALLOWELL, ME 04347-3057
(207) 621-6760
Mailing address
276 WHITTEN RD, HALLOWELL, ME 04347-3057
(207) 621-6760
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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