Individual
JUSTINE NICOLE FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 WARDTOWN RD, FREEPORT, ME 04032-6880
(603) 504-5687
Mailing address
71 US ROUTE 1, SCARBOROUGH, ME 04074-7173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LC16992
ME
Other
Enumeration date
06/24/2015
Last updated
04/17/2025
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