Individual
VICKI LYNN GAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
50 PARK RD STE 4, WESTBROOK, ME 04092-3176
(207) 317-1499
Mailing address
50 PARK RD STE 4, WESTBROOK, ME 04092-3176
(207) 317-1499
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9933
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079046
LCSW
ME
05
—
248050099
—
ME
Enumeration date
07/28/2006
Last updated
08/26/2021
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