Individual
LORRAINE FERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 CONSTELLATION WAY STE 101, FALMOUTH, ME 04105-2256
(207) 956-5977
Mailing address
52 COVE ST, PORTLAND, ME 04101-2514
(207) 956-5977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC17583
ME
Other
Enumeration date
09/16/2020
Last updated
11/13/2023
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