Individual
STEPHEN DACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
57 EXCHANGE ST STE 203, PORTLAND, ME 04101-5000
(603) 667-1603
Mailing address
93 ANGELL AVE, SOUTH PORTLAND, ME 04106-5002
(603) 667-1603
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC20695
ME
Other
Enumeration date
12/04/2018
Last updated
05/17/2022
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