Individual
LOUISE M LABRECQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97 DEMERITT ROAD, WEST NEWFIELD, ME 04095
(207) 793-8103
(207) 793-2408
Mailing address
PO BOX 649, SANFORD, ME 04073-0649
(207) 793-8103
(207) 793-2408
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
6656071
ME
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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