Individual
MR. MARK ROBERT RANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
81 HAMPDEN RD, CARMEL, ME 04419-3500
(207) 907-5461
Mailing address
81 HAMPDEN RD, CARMEL, ME 04419-3500
(207) 907-5461
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC#12384
ME
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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