Individual
LILY LETOURNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
143A HIGH ST, BELFAST, ME 04915-6548
(207) 505-0015
Mailing address
143A HIGH ST, BELFAST, ME 04915-6548
(207) 505-0015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC16889
ME
1041C0700X
Clinical Social Worker
Primary
LC19079
ME
Other
Enumeration date
11/03/2017
Last updated
01/25/2021
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