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Individual

GRACE NEVINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
207 GANNETT DR # 3, SOUTH PORTLAND, ME 04106-6910
(207) 536-0090
Mailing address
48 EMERSON ST # 2, PORTLAND, ME 04101-3228
(207) 776-0428

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/13/2017
Last updated
09/13/2017
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