Doctor Name: | MRS. KEARA ANNE DUPONT ANCTIL |
NPI Number: | 1144312968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC8042 |
Business Practice Address: | 825 Main St Ste 4 Westbrook, ME - 040922873 |
Business Phone Number: | 2082283880 |
Business Fax Number: | |
Mailing Address: | 27 Webster St, WESTBROOK |
State: | ME |
Postal Code: | 040922432 |
Phone Number: | 2073188735 |
Fax Number: | |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 10/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC8042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |