Individual
MS. JUDITH B. GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
290 NORTHPORT AVE, BELFAST, ME 04915
(207) 338-6243
(207) 338-6243
Mailing address
290 NORTHPORT AVE, BELFAST, ME 04915
(207) 338-6243
(207) 338-6243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
#668
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027118
ANTHEM
ME
Enumeration date
05/02/2007
Last updated
07/08/2007
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