Individual
MS. GWEN M ACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
37 NICKERSON RD, SWANVILLE, ME 04915-8202
(207) 322-9849
Mailing address
37 NICKERSON RD, SWANVILLE, ME 04915-8202
(207) 322-9849
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC16875
ME
Other
Enumeration date
11/01/2017
Last updated
03/17/2018
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