Organization
LESLIE CONNOLLY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE CONNOLLY (PROVIDER)
(207) 831-9871
Entity
Organization
Contact information
Practice address
25 MIDDLE ST, PORTLAND, ME 04101-4869
(207) 831-9871
Mailing address
23 HUNTS POINT RD, CAPE ELIZABETH, ME 04107-2926
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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