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Individual

DR. LORRAINE H HUCKEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
65 UNION STREET, BLUE HILL, ME 04614-0161
(207) 374-5811
(866) 620-9643
Mailing address
PO BOX 161, BLUE HILL, ME 04614-0161
(207) 374-5811
(866) 620-9643

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS758
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127060000
ME
Enumeration date
12/24/2007
Last updated
12/29/2011
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