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Individual

MS. LUCILLE PAINCHAUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PE

Contact information

Practice address
66 STONE ST, AUGUSTA, ME 04330-5227
(207) 626-3455
(207) 626-3612
Mailing address
66 STONE ST, AUGUSTA, ME 04330-5227
(207) 626-3455
(207) 626-3612

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
PE630
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
325540099
ME
Enumeration date
04/12/2007
Last updated
07/08/2007
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