Individual
NICOLE SAWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-CC
Contact information
Practice address
100 GANNETT DR # DR, SOUTH PORTLAND, ME 04106-5900
(207) 845-1030
Mailing address
229 SEWALL ST # 1, AUGUSTA, ME 04330-7116
(207) 400-6544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL4843
ME
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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