Individual
CONNIE L. MCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
3 MOUNTAINVIEW DR., FORT KENT, ME 04743-1409
(207) 834-1569
(207) 834-4048
Mailing address
194 E MAIN ST, FORT KENT, ME 04743-1428
(207) 834-1569
(207) 834-4048
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI96
ME
Other
Enumeration date
05/23/2007
Last updated
11/12/2009
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