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Individual

ANNE HEELAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
50 MONUMENT SQ, PORTLAND, ME 04101-4039
(207) 221-8631
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1211

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC14281
ME

Other

Enumeration date
08/05/2014
Last updated
08/05/2014
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