Individual
ELEANOR D PANCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
322 MAIN ST, BAR HARBOR, ME 04609-1648
(207) 288-8604
(207) 288-7024
Mailing address
10 WAYMAN LN, BAR HARBOR, ME 04609-1625
(207) 288-5081
(207) 288-7024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC10852
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098304
ANTHEM LEGACY NUMBER
ME
05
—
431954799
—
ME
01
—
LC10852
MAINE LICENSE
ME
Enumeration date
05/26/2006
Last updated
01/02/2008
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