Individual
LAURA MALONE WAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
160 DUBLIN ST, MACHIAS, ME 04654-3409
(207) 255-3400
Mailing address
259 MOOSENECK RD, ADDISON, ME 04606-3543
(617) 272-6658
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
26104
MD
1041C0700X
Clinical Social Worker
Primary
LC23079
ME
Other
Enumeration date
07/31/2020
Last updated
05/19/2025
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