Individual
REID DOMINIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 COTTAGE ST, FREEPORT, ME 04032-1102
(207) 504-2664
Mailing address
350 CAPISIC ST, PORTLAND, ME 04102-1710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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