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Individual

GRACELYN MAGUIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC-C, LADC

Contact information

Practice address
16 TOWN HOUSE RD, WEST GARDINER, ME 04345-3402
(207) 624-1089
Mailing address
16 TOWN HOUSE RD, WEST GARDINER, ME 04345-3402

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC5643
101YP2500X
Professional Counselor
Primary
XL4176
ME

Other

Enumeration date
07/03/2014
Last updated
07/19/2021
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