Individual
NICOLE DUNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
901 WASHINGTON AVE, SUITE 100, PORTLAND, ME 04103-2737
(207) 871-1211
(207) 871-1232
Mailing address
901 WASHINGTON AVE STE 100, PORTLAND, ME 04103-2842
(207) 871-1211
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC16928
ME
104100000X
Social Worker
MC15726
ME
Other
Enumeration date
11/20/2015
Last updated
01/30/2018
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