Heaven Frankie Lane LCPC-C

NPI 1336330117 - Social Worker - 104100000X

NPI Details
NPI 1336330117
Gender Female
Enumeration Date 08/06/2007
Last Updated 07/06/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
40 SUMMER ST
BANGOR ME, 04401-6446, US
Phone (207) 947-0366
Fax
Business Location
78 BICKFORD TER
ENFIELD ME, 04493-4460, US
Phone (207) 732-5276
Fax
Toxanomy
Taxonomy Code 104100000X
License State
License Number
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According to our database, Mrs. Heaven Frankie Lane LCPC-C NPI is 1336330117, taxonomy code is 104100000X Heaven Frankie Lane LCPC-C physically located at 40 Summer St, Bangor ME, 04401-6446. NPI Number Heaven Frankie Lane LCPC-C has the Individual type.

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1336330117 NPI number is provided on an as is basis without warranty of any kind. 1336330117 is maintained by the National Plan & Provider Enumeration System. The contents of Heaven Frankie Lane LCPC-C are for informational purposes only.