Individual
FRANKIE EATON PLYMALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
121 EMERY ST, PORTLAND, ME 04102-3731
(207) 774-6814
Mailing address
121 EMERY ST, PORTLAND, ME 04102-3731
(207) 774-6814
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC3573
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010718
PROVIDER FOR ANTHEM BLUE
ME
Enumeration date
06/01/2007
Last updated
07/08/2007
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