Individual
GEORGE R CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
407 ALFRED ST, PARK ONE ELEVEN, BIDDEFORD, ME 04005-3760
(207) 284-5554
(207) 284-5551
Mailing address
2 SPRINGBROOK DRIVE, BIDDEFORD, ME 04005-3253
(207) 282-1500
(207) 282-7509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5893
ME
Other
Enumeration date
07/31/2006
Last updated
07/16/2007
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