Individual
STACEY ANNETTE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2 WATER ST STE 2, HOULTON, ME 04730-2182
(207) 532-5510
Mailing address
PO BOX 325, MARS HILL, ME 04758-0325
(207) 227-0315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC12658
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922254481
—
ME
Enumeration date
08/14/2008
Last updated
11/15/2024
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