Individual
MANDY LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 FOREST AVE STE 300, PORTLAND, ME 04101-2009
(207) 854-1030
(207) 854-1001
Mailing address
820 MAIN ST, WESTBROOK, ME 04092-3430
(207) 854-1030
(207) 854-1001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC13085
ME
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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