Individual
COLIN PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW-CC
Contact information
Practice address
802 MAIN ST, WATERBORO, ME 04087-3013
(207) 247-9000
Mailing address
90 HILL ST, SACO, ME 04072-3223
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
113034
ME
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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