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Individual

CRYSTAL DENICE AYLWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC-C

Contact information

Practice address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
Mailing address
58 LOUISE AVE, WATERVILLE, ME 04901-5054
(207) 232-6260

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL6920
ME

Other

Enumeration date
02/02/2023
Last updated
02/02/2023
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