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Individual

CAROLYN C CURTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
11 MAIN ST, KENNEBUNK, ME 04043-7005
(207) 229-6270
Mailing address
PO BOX 7009, CAPE PORPOISE, ME 04014-7009
(207) 229-6270

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC1422
ME
1041C0700X
Clinical Social Worker
Primary
LC7368
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
289840099
ME
Enumeration date
08/03/2006
Last updated
03/13/2014
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