Individual
JANE A FLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
66 STATE ST, PORTLAND, ME 04101-3751
(207) 871-7431
Mailing address
19 WHITNEY AVE, PORTLAND, ME 04102-2521
(207) 837-1447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9152
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312360099
—
ME
Enumeration date
02/01/2007
Last updated
10/05/2010
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