Individual
KARINTHA HABERSTROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 WAVERLY ST, PORTLAND, ME 04103-3314
(207) 332-6143
Mailing address
8 ELMWOOD ST, PORTLAND, ME 04103-3320
(207) 332-6143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC11992
ME
Other
Enumeration date
10/07/2009
Last updated
12/13/2012
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