| Carolyn Branson Pllc | |
|
222 Auburn St Suite 201 Portland ME 04103-6002 | |
| (207) 232-4490 | |
| (207) 283-0038 |
| Full Name | Carolyn Branson Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 222 Auburn St, Portland, Maine |
| Authorized Official Name and Position | Carolyn Branson (OWNER) |
| Authorized Official Contact | 2072324490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Branson Pllc 7 Tidewater Cv Falmouth ME 04105-2110 Ph: (207) 232-4490 | Carolyn Branson Pllc 222 Auburn St Suite 201 Portland ME 04103-6002 Ph: (207) 232-4490 |
| NPI Number | 1780126557 |
|---|---|
| Provider Enumeration Date | 11/10/2016 |
| Last Update Date | 11/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780126557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC3499 (Maine) | Primary |
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