Individual
CELIA WICKER GRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
239 SPURWINK AVE, CAPE ELIZABETH, ME 04107-9604
(207) 799-9776
Mailing address
239 SPURWINK AVE, CAPE ELIZABETH, ME 04107-9604
(207) 799-9776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6287
ME
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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