Individual
HAILEY CHARLES GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
Mailing address
12 RAINBOW RDG, JAY, ME 04239-4430
(207) 399-8488
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL7096
ME
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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