Individual
MRS. BROOKE CHARLOTTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
700 MOUNT HOPE AVE STE 320, BANGOR, ME 04401-5664
(207) 941-2852
Mailing address
8 SWAN DR, HAMPDEN, ME 04444-1206
(207) 735-8621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC19399
ME
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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