Individual
ANN FOURRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
510 CUMBERLAND AVE, PORTLAND, ME 04101-2220
(207) 553-5800
(207) 874-1155
Mailing address
510 CUMBERLAND AVE, PORTLAND, ME 04101-2220
(207) 553-5800
(207) 874-1155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5733
ME
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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