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Individual

WANDA SPRAGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
60 COURT ST, AUBURN, ME 04210-5983
(207) 786-4498
Mailing address
60 COURT ST, AUBURN, ME 04210-5983

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC2160
ME

Other

Enumeration date
06/09/2011
Last updated
06/09/2011
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