Individual
SUZANNE T. GOSSELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
137 S HIRAM RD, HIRAM, ME 04041-3636
(207) 625-7134
(207) 625-7186
Mailing address
14 GOSLING ROAD, SHAPLEIGH, ME 04076
(207) 793-3495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC10742
ME
1041S0200X
School Social Worker
Primary
LC10742
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207970199
—
ME
Enumeration date
05/26/2006
Last updated
03/31/2011
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