NPI 1023125242

Allen Robert Northup, LCCLPE

Practitioner Social Worker Brunswick, ME

Practice location

Address: 169 Park Row, Brunswick, ME 04011
Phone: (207) 729-5426
Fax: (207) 725-2473
Mailing address: 169 Park Row, Brunswick, ME 04011-2039

Registered specialties (2)

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 272-LCPC (ME)

Other Social Worker providers in Maine →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 741-LPE (ME)

Registry record

NPI: 1023125242
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.