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Individual

MRS. ELIZABETH SUE BLANCHETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
324 GANNETT DRIVE, SUITE 300, SOUTH PORTLAND, ME 04106
(207) 771-5700
(207) 771-5750
Mailing address
PO BOX 787, ELLSWORTH, ME 04605-0787
(207) 667-0909
(207) 667-6348

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC6734
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
431973399
ME
Enumeration date
04/16/2007
Last updated
09/12/2018
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