Individual
AVERY STOWE LADERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
9 FIELD ST STE 219, BELFAST, ME 04915-6643
(207) 505-6082
Mailing address
21 FULLERTON ST, BOOTHBAY HARBOR, ME 04538-1886
(207) 350-5356
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
XL7562
ME
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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