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Individual

DOLPHIN MOON AVERY-GRUBEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC-C

Contact information

Practice address
22 CHRISTY HILL RD, SEDGWICK, ME 04676-2812
(207) 747-9741
Mailing address
22 CHRISTY HILL RD, SEDGWICK, ME 04676-2812
(207) 747-9741

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL7648
ME

Other

Enumeration date
08/19/2024
Last updated
08/19/2024
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