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Individual

MS. GRACE H BRACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
418 WATER ST, GARDOMER, ME 04345
(207) 588-0235
(207) 582-9027
Mailing address
PO BOX 56, GARDOMER, ME 04345
(207) 588-0235
(207) 582-9027

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
07/08/2008
Last updated
07/08/2008
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