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Organization

FARWELL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIETTE MARIE HANLON LCSW (CHIEF EXECUTIVE OFFICER)
(207) 353-8118
Entity
Organization

Contact information

Practice address
22 FARWELL ST, LISBON, ME 04250-6824
(207) 353-8118
(207) 407-1209
Mailing address
22 FARWELL ST, LISBON, ME 04250-6824
(207) 353-8118
(207) 407-1209

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
593865
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1932274859
ENTITY TYPE 1 NPI NUMBER
ME
Enumeration date
02/16/2010
Last updated
02/16/2010
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