Individual
CARLA STOCKDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 MAIN ST, SUITE 2A, WINTHROP, ME 04364-1486
(207) 377-2111
Mailing address
149 MAIN ST, SUITE 2A, WINTHROP, ME 04364-1486
(207) 377-2111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5022
ME
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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