Individual
MS. BEVERLY ANN BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
113 SOPER RD, DURHAM, ME 04222-5418
(207) 232-6241
(207) 353-2316
Mailing address
113 SOPER RD, DURHAM, ME 04222-5418
(207) 232-6241
(207) 353-2316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01409
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01409
LCSW
ME
Enumeration date
08/25/2006
Last updated
07/08/2007
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