Individual
REBECCA TRYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
27 INDUSTRIAL AVE, SANFORD, ME 04073-5845
(207) 459-1666
Mailing address
27 THE LONG AND WINDING RD, KENNEBUNKPORT, ME 04046-5257
(120) 771-0377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC20283
ME
Other
Enumeration date
03/21/2023
Last updated
05/03/2023
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