Individual
ELORA WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 HIGHLAND AVE, MILLINOCKET, ME 04462-1610
(505) 231-3177
Mailing address
176 HIGHLAND AVE, MILLINOCKET, ME 04462-1610
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL7905
ME
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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