Individual
GRACE ELAINA WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
510 MAIN ST # 18, GORHAM, ME 04038-1339
(207) 239-6406
Mailing address
510 MAIN ST # 18, GORHAM, ME 04038-1339
(207) 239-6406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL7545
ME
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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