Individual
CHRISTINA TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
3 RUTH ST, SANFORD, ME 04073-4014
(207) 263-3736
Mailing address
3 RUTH ST, SANFORD, ME 04073-4014
(207) 263-3736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC23998
ME
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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