Individual
MARLENE LAURENDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
66 BARIBEAU DR, BRUNSWICK, ME 04011-3230
(207) 373-6950
(207) 373-6959
Mailing address
66 BARIBEAU DR, BRUNSWICK, ME 04011-3230
(207) 373-6950
(207) 373-6959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9583
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102104100
—
ME
Enumeration date
11/26/2008
Last updated
11/26/2008
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