Individual
MS. KRISTIN M SHULMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12 ANDOVER RD, PORTLAND, ME 04102-1954
(207) 761-5612
(207) 662-6234
Mailing address
12 ANDOVER RD, PORTLAND, ME 04102-1954
(207) 761-5612
(207) 662-6234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ISW01638
RI
1041C0700X
Clinical Social Worker
Primary
LC12764
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31298-1
BCBSRI
RI
01
—
413281
BLUECHIP
RI
05
—
KM59768
—
RI
Enumeration date
03/15/2006
Last updated
05/14/2013
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