Individual
LAURA MIA MANTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
259 MASALIN RD, LINCOLNVILLE, ME 04849-5538
(207) 763-4243
Mailing address
259 MASALIN RD, LINCOLNVILLE, ME 04849-5538
(207) 763-4243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC1532
ME
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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