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Individual

ALAN LETOURNEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.W.

Contact information

Practice address
82 GREENLEAF RD, WESTPORT ISLAND, ME 04578-3218
(207) 882-6594
Mailing address
82 GREENLEAF RD, WESTPORT ISLAND, ME 04578-3218
(207) 882-6594

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC1357
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
434569000
ME
Enumeration date
02/09/2010
Last updated
02/09/2010
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