Sheila Grace Pa | |
345 Cottage Rd South Portland ME 04106-3919 | |
(207) 799-0422 | |
(207) 799-5151 |
Full Name | Sheila Grace Pa |
---|---|
Speciality | Social Worker - Clinical |
Location | 345 Cottage Rd, South Portland, Maine |
Authorized Official Name and Position | Sheila T. Grace (OWNER) |
Authorized Official Contact | 2077990422 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sheila Grace Pa 345 Cottage Rd South Portland ME 04106-3919 Ph: (207) 799-0422 | Sheila Grace Pa 345 Cottage Rd South Portland ME 04106-3919 Ph: (207) 799-0422 |
NPI Number | 1023354396 |
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Provider Enumeration Date | 12/14/2012 |
Last Update Date | 12/14/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023354396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 863 (Maine) | Primary |
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