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Individual

PAMELA A BRALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
674 MOUNT HOPE AVE, BANGOR, ME 04401-5656
(207) 947-1398
Mailing address
PO BOX 380, DOVER FOXCROFT, ME 04426-0380
(207) 564-2464
(207) 564-2404

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC2163
ME

Other

Enumeration date
05/16/2007
Last updated
07/08/2007
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