Individual
MS. LANA M PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
96 MARKET ST, FORT KENT, ME 04743-1453
(207) 834-3186
Mailing address
167 ALLAGASH RD, ALLAGASH, ME 04774-4001
(207) 398-4081
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10017
ME
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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