Individual
MS. TRACY ALLEN AUDET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW LADC
Contact information
Practice address
571 SABATTUS ST STE 7, 1ST FLOOR, LEWISTON, ME 04240-4156
(207) 753-0783
(207) 753-0323
Mailing address
40 HEATH LN, TRACY AUDET LCSW, LADC, AUBURN, ME 04210-3711
(207) 753-0783
(207) 753-0323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC4081
ME
1041C0700X
Clinical Social Worker
Primary
LC6370
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265120099
—
ME
Enumeration date
04/03/2006
Last updated
06/01/2009
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