Individual
RANDY NEBLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
104 MAIN ST UNIT 1105, BLUE HILL, ME 04614-1743
(916) 316-2756
Mailing address
104 MAIN ST UNIT 1105, BLUE HILL, ME 04614-1743
(916) 316-2756
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC17161
LA
1041C0700X
Clinical Social Worker
Primary
LC17161
ME
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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