Individual
LOLITA DOROTHY BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW-CC
Contact information
Practice address
511 WINTHROP CENTER RD, WINTHROP, ME 04364-3547
(207) 395-8001
Mailing address
511 WINTHROP CENTER RD, WINTHROP, ME 04364-3547
(207) 395-8001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC12903
ME
Other
Enumeration date
11/12/2012
Last updated
11/12/2012
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