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Individual

MRS. ANNA LOCKE GOWDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC, LADC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC5248
ME
101YP2500X
Professional Counselor
Primary
CC4072
ME
101YP2500X
Professional Counselor
XL3770
ME

Other

Enumeration date
03/23/2011
Last updated
09/14/2022
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