Individual
GRACE BINGHAM OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15 ANCHOR DR STE 201, ROCKPORT, ME 04856-3845
(207) 301-5900
Mailing address
PO BOX 448, SPRUCE HEAD, ME 04859-0448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC15952
ME
Other
Enumeration date
09/23/2016
Last updated
12/29/2020
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