Individual
VICKIE L. STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
100 W FRONT ST, SKOWHEGAN, ME 04976-1134
(207) 431-4456
Mailing address
100 W FRONT ST, SKOWHEGAN, ME 04976-1134
(207) 431-4456
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC12128
ME
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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