Individual provider · NPI-1
Charles Babineau
Social Worker, Clinical · Brunswick, ME
NPI number1740515899
StatusActive
Last updated in NPPESOct 8, 2009
Details
- NPI
- 1740515899
- Entity type
- Individual (NPI-1)
- Name
- Charles Babineau
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2009
- Last updated
- Oct 8, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | MC11339 | ME | Yes |
Practice location
14 Maine StSuite 202
Brunswick, ME 04011-2049
Phone 207-373-0620 · Fax 207-373-0628
Mailing address
14 Maine StSuite 202
Brunswick, ME 04011-2049
Phone 207-373-0620
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