Individual
MS. JAMIE L RACINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
28 STATE ST STE 5, GORHAM, ME 04038-1147
(207) 558-2346
Mailing address
28 STATE ST STE 5, GORHAM, ME 04038-1147
(207) 558-2346
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC19743
ME
Other
Enumeration date
01/03/2013
Last updated
07/06/2021
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