Portland Doula Collaborative

NPI #1548675200 in Freeport, Maine

Provider Information

NPI Number: 1548675200
Entity Type: Organization
Organization Name: Portland Doula Collaborative
Primary Specialty: Massage Therapist
Enumeration Date: Jun 21, 2014
Last Updated: Jun 21, 2014

Practice Location

Address: 30 UPPER MAST LANDING RD
City: Freeport
State: Maine
ZIP Code: 04032-6417
Phone: (207) 632-1242

Authorized Official

Name: MARY E LATENDRESSE, LMT, CPMT
Title: OWNER, LMT, CPMT, DOULA
Phone: (207) 632-1242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Doula	374J00000X
Massage Therapist	225700000X	Primary

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