Individual
HOLLY BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
205 PROSPECT ST, PORTLAND, ME 04103-3038
(207) 518-0067
Mailing address
205 PROSPECT ST, PORTLAND, ME 04103-3038
(207) 518-0067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC15491
ME
Other
Enumeration date
06/25/2021
Last updated
09/23/2025
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