Individual
MRS. STACEY H FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
147 ACADEMY ST, PRESQUE ISLE, ME 04769-3101
(207) 764-6825
(207) 764-6077
Mailing address
PO BOX 509, PRESQUE ISLE, ME 04769-0509
(207) 764-6825
(207) 764-6077
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC11575
ME
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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