Individual
MS. DEVON TRACEY GALLICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
58 TUGBOAT LANE, PHIPPSBURG, ME 04562
(207) 389-1672
Mailing address
899 RIVERSIDE ST, PORTLAND, ME 04103-1070
(207) 871-1200
(207) 871-1232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC12720
ME
Other
Enumeration date
09/24/2010
Last updated
06/07/2012
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