Individual
LAURIE A. BLAIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
49 LONGFELLOW AVE, SUITE 5, BRUNSWICK, ME 04011-2533
(207) 729-7729
(207) 729-7729
Mailing address
49 LONGFELLOW AVE, SUITE 5, BRUNSWICK, ME 04011-2533
(207) 729-7729
(207) 729-7729
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9241
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047889
ANTHEM BCBS ID
ME
Enumeration date
01/29/2006
Last updated
07/08/2007
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