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Organization

NICOLE KAY PHELAN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NICOLE KAY PHELAN LCSW (OWNER)
(207) 749-2356
Entity
Organization

Contact information

Practice address
24 MIECASKLY DRIVE, NEW GLOUCESTER, ME 04260
(207) 749-2356
Mailing address
24 MIECASKLY DRIVE, NEW GLOUCESTER, ME 04260
(207) 749-2356

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
06/11/2025
Last updated
09/22/2025
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