Individual
MRS. PRISCILLE ANNE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
50 MOODY ST, SACO, ME 04072-1536
(800) 434-3000
Mailing address
PO BOX 203, NEWFIELD, ME 04056-0203
(207) 793-4273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC2535
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431549599
—
ME
Enumeration date
12/01/2006
Last updated
09/09/2010
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