Individual
MICHELE L FLAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CONDITIONAL
Contact information
Practice address
587 OCEAN AVE, PORTLAND, ME 04103-2701
(207) 871-1582
(207) 871-9276
Mailing address
78 MELLEN ST APT 6, PORTLAND, ME 04101-2186
(207) 871-1582
(207) 871-9276
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC10561
ME
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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