Morin, Gregory

Morin, Gregory is an individual health care provider with primary practice located at 343 Forest Ave , Portland ME 04101-2006. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Morin, Gregory can be contacted via phone (207) 874-1030.

Contact Information

Primary practice address
343 Forest Ave Portland ME 04101-2006
Phone: (207) 874-1030
Fax: (207) 874-1009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC11815 Maine

Profile Details

NPI number 1629203666
LBN Legal business name Morin, Gregory
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2009
Last updated Feb 2nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629203666 NPPES
Maine MEDICAID 433565099

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