Individual
TIA LYNN SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8 ROAD LESS TRAVELED RD, BRYANT POND, ME 04219-6729
(207) 330-5046
Mailing address
8 ROAD LESS TRAVELED RD, BRYANT POND, ME 04219-6729
(207) 330-5046
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC23948
ME
Other
Enumeration date
01/05/2022
Last updated
02/20/2025
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