Individual
MRS. GRACE ELIZABETH LACOURSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 OLD ALFRED RD, EAST WATERBORO, ME 04030-5114
(207) 247-5682
(207) 247-5682
Mailing address
300 OLD ALFRED RD, EAST WATERBORO, ME 04030-5114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALLS3315
ME
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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