Individual
JOAN L DETEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LMSW
Contact information
Practice address
244 LISBON ST, LISBON, ME 04250-6866
(207) 353-4100
Mailing address
244 LISBON ST, LISBON, ME 04250-6866
(207) 353-4100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LM4291
ME
163W00000X
Registered Nurse
Primary
RO31594
ME
Other
Enumeration date
05/18/2007
Last updated
09/11/2025
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