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Individual

GINA D TEMPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC-C

Contact information

Practice address
42 DALLAS HILL RD, RANGELEY, ME 04970-4032
(207) 841-4315
Mailing address
PO BOX 1018, RANGELEY, ME 04970-1018
(207) 841-4315

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3859
ME

Other

Enumeration date
07/15/2014
Last updated
07/15/2014
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