Individual
MISS CAROL LYN SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HARNOIS AVE, SUITE 2A, WESTBROOK, ME 04092-4392
(207) 661-3400
(207) 662-3401
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC15186
ME
Other
Enumeration date
12/14/2012
Last updated
04/26/2017
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