Individual
MRS. KAITLYN BRIANNA BOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
40 SUMMER ST, BANGOR, ME 04401-7144
(207) 945-4240
Mailing address
PO BOX 556, GUILFORD, ME 04443-0556
(207) 343-1501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC23677
ME
Other
Enumeration date
08/05/2024
Last updated
07/07/2025
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