Individual
LAURIE HELEN MAHEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
585 UNION AVE STE 5, LACONIA, NH 03246-2504
(603) 337-5938
Mailing address
585 UNION AVE STE 5, LACONIA, NH 03246-2504
(603) 337-5938
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MC9859
ME
1041C0700X
Clinical Social Worker
Primary
1639
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528017597
ANTHEM BLUE CROSS BLUE SHIELD
NH
01
—
1528017597
CIGNA
—
05
—
3091178
—
NH
05
—
431870399
—
ME
Enumeration date
05/08/2006
Last updated
01/14/2014
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