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Individual

MS. SANDRA GRAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
104 KIMBALL LANE, NORTHEAST HARBOR, ME 04662-0841
(207) 276-3744
Mailing address
PO BOX 841, 104 KIMBALL LANE, NORTHEAST HARBOR, ME 04662-0841
(207) 276-3744

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC1668
ME

Other

Enumeration date
01/29/2007
Last updated
07/08/2007
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