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Contact Information

CHRISTOPHER P BEAUDOIN, LCSW
15 RANGE WAY SUITE 3
MANCHESTER, ME04351
 Phone: 207-622-1404
 Fax: 207-623-7637
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for CHRISTOPHER P BEAUDOIN · (Male)

NPI Number 1548453616
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/22/2007
Last updated 11/02/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • ME License # LC8210
  • ME Medicaid 432638599
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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