Individual
DIANA S.C. BLAIR-MONKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
31 SPURWINK DR, CHELSEA, ME 04330-1166
(207) 582-7686
(207) 582-7688
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
LS9959
ME
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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