Individual
SEAN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10 WATER ST, SUITE 306, WATERVILLE, ME 04901-6559
(207) 861-3505
(207) 861-3470
Mailing address
10 WATER ST, SUITE 306, WATERVILLE, ME 04901-6559
(207) 861-3505
(207) 861-3470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC10645
ME
Other
Enumeration date
10/31/2006
Last updated
11/09/2009
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