Individual
KATHY CHAZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 CALDWELL RD, AUGUSTA, ME 04330-5735
(207) 626-3448
(207) 626-3453
Mailing address
10 CALDWELL RD, AUGUSTA, ME 04330-5735
(207) 626-3448
(207) 626-3453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4010
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760573539
—
ME
Enumeration date
09/27/2006
Last updated
12/29/2011
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