Individual
NICOLE M VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 MAIN ST, ROCKLAND, ME 04841-3304
(207) 596-0359
(207) 596-0350
Mailing address
375 MAIN ST, ROCKLAND, ME 04841-3304
(207) 596-0359
(207) 596-0350
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LM13146
ME
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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