Individual
TRACY LYNN LIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1577 CONGRESS ST, PORTLAND, ME 04102-2169
(207) 662-5522
(207) 774-1814
Mailing address
1577 CONGRESS ST, PORTLAND, ME 04102-2169
(207) 662-5522
(207) 774-1814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC15237
ME
Other
Enumeration date
08/24/2010
Last updated
12/12/2024
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