Individual
LACEY AUDET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
93 SILVER ST, WATERVILLE, ME 04901-5923
(207) 873-4253
(207) 873-3795
Mailing address
93 SILVER ST, WATERVILLE, ME 04901-5923
(207) 873-4253
(207) 873-3795
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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