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Individual

MRS. JOHANNE SOUCY-CAMIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED, BCBA

Contact information

Practice address
15 MACINTOSH LN, OLD ORCHARD BEACH, ME 04064-1477
(207) 937-2103
Mailing address
15 MACINTOSH LN, OLD ORCHARD BEACH, ME 04064-1477
(207) 937-2103

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5152
ME

Other

Enumeration date
07/08/2009
Last updated
07/08/2009
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