Individual
CHERYL J MACLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW - LCSW
Contact information
Practice address
139 MARKET ST, SUITE 109, FORT KENT, ME 04743-1410
(207) 834-3186
(207) 834-7190
Mailing address
139 MARKET ST, SUITE 109, FORT KENT, ME 04743-1410
(207) 834-3186
(207) 834-7190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC11915
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431901199
MAINE CARE NUMBER
ME
Enumeration date
03/26/2007
Last updated
12/11/2008
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