Individual
MRS. MARIETTE MARIE HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16 FARWELL STREET, LISBON, ME 04250
(207) 353-8118
Mailing address
16 FARWELL STREET, LISBON, ME 04250
(207) 353-8118
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ME157503
ME
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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