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NPI Code Detail

MEDICARE: MS. CAROLINE COOPER TORRES LCSW

MEDICARE: MS. CAROLINE COOPER TORRES LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1013296839
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROLINE COOPER TORRES LCSW
Provider Business Mailing Address
First Line : 17 MARLOW ST
Second Line :
City : PORTLAND
State : ME
Zip : 04103-2422
Country : US
Telephone Number : 917-280-2512
Fax Number :
Provider Business Practice Location Address
First Line : 440 FOREST AVE
Second Line :
City : PORTLAND
State : ME
Zip : 04101-2015
Country : US
Telephone Number : 917-280-2512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2011
Last Update Date : 09/25/2023

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Directions to “ MS. CAROLINE COOPER TORRES LCSW” Practice Location

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