Individual
MRS. LAURA JANE HENCKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
453 US ROUTE 1, KITTERY, ME 03904-5513
(207) 451-1750
(207) 439-4360
Mailing address
78 ATLANTIC PLACE, SOUTH PORTLAND, ME 04106-2316
(207) 842-7701
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC14040
ME
Other
Enumeration date
02/23/2007
Last updated
06/18/2013
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