Individual
SAMANTHA PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 MOODY ST, SACO, ME 04072-1536
(800) 434-3000
Mailing address
68 PILLSBURY ST, SOUTH PORTLAND, ME 04106-4950
(207) 347-0777
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC23104
ME
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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