Individual
LEONETTE ANN IRELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW LADC
Contact information
Practice address
10 RAILROAD SQ, WATERVILLE, ME 04901-6133
(207) 692-7215
Mailing address
13 OLD COUNTY RD, FAIRFIELD, ME 04937-3411
(207) 692-7215
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
LC4357
ME
Other
Enumeration date
12/18/2011
Last updated
12/18/2011
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