Individual
LAURA L. CIANCHETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1486B BROADWAY, SOUTH PORTLAND, ME 04106-2602
(207) 400-1611
(207) 772-8505
Mailing address
90 GRAY STREET, PORTLAND, ME 04102
(207) 400-1611
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF1730
ME
Other
Enumeration date
05/03/2007
Last updated
06/24/2009
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