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Individual

STACEY MERRILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
93 SILVER ST, WATERVILLE, ME 04901-5923
(207) 873-4253
(207) 873-3795
Mailing address
93 SILVER ST, WATERVILLE, ME 04901-5923
(207) 873-4253
(207) 873-3795

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4849
ME
101YP2500X
Professional Counselor
XL4440
ME

Other

Enumeration date
03/09/2015
Last updated
04/29/2025
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