Provider Demographics
NPI:1922588490
Name:MAPLESTONE
Entity Type:Organization
Organization Name:MAPLESTONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DONOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:207-477-2829
Mailing Address - Street 1:PO BOX 588
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:ME
Mailing Address - Zip Code:04001-0588
Mailing Address - Country:US
Mailing Address - Phone:207-477-2829
Mailing Address - Fax:
Practice Address - Street 1:2435 MILTON MILLS RD
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:ME
Practice Address - Zip Code:04001-5014
Practice Address - Country:US
Practice Address - Phone:207-477-2829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-15
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)