Individual
NICOLE HALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
211 MAIN ST, WATERVILLE, ME 04901-6117
(207) 877-3400
(207) 877-3401
Mailing address
211 MAIN ST, WATERVILLE, ME 04901-6117
(207) 877-3400
(207) 877-3401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC22013
ME
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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