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Individual

CHRISTINE P CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8 WESLEYAN ST, FORT FAIRFIELD, ME 04742-2010
(207) 473-9285
(207) 498-3591
Mailing address
8 WESLEYAN ST, FORT FAIRFIELD, ME 04742-2010
(207) 473-9285
(207) 498-3591

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
Primary
LC15413
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010276859
ME
Enumeration date
08/02/2013
Last updated
07/11/2015
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