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Individual

SUZANNE BOUTILIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW-CC

Contact information

Practice address
235 CENTER ST, BREWER, ME 04412-1961
(207) 561-9496
Mailing address
235 CENTER ST, BREWER, ME 04412-1961
(207) 561-9496

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC23060
ME

Other

Enumeration date
11/27/2023
Last updated
11/27/2023
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