Individual
KATHERINE J. RIDEOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W., M.S.W.
Contact information
Practice address
HEBRON ACADEMY STUDENT HEALTH CENTER, HEBRON, ME 04238
(207) 461-2524
Mailing address
PO BOX 275, HEBRON, ME 04238-0275
(207) 461-2524
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC5984
ME
Other
Enumeration date
10/25/2006
Last updated
08/21/2008
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