Individual
JUDY GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
469 MAIN ST STE 308, SPRINGVALE, ME 04083-1872
(207) 698-0475
Mailing address
64 MERCHANTS ROW, LEBANON, ME 04027-4305
(603) 285-5814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC22727
ME
Other
Enumeration date
05/18/2021
Last updated
01/15/2024
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