Organization
PORTLAND DOULA COLLABORATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E LATENDRESSE LMT, CPMT (OWNER, LMT, CPMT, DOULA)
(207) 632-1242
Entity
Organization
Contact information
Practice address
30 UPPER MAST LANDING RD, FREEPORT, ME 04032-6417
(207) 632-1242
Mailing address
30 UPPER MAST LANDING RD, FREEPORT, ME 04032-6417
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2239
ME
374J00000X
Doula
—
—
Other
Enumeration date
06/21/2014
Last updated
06/21/2014
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