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1174832109
DEVON TRACEY GALLICE
PHIPPSBURG, ME
NPI
1174832109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME MC12720)
Enumeration Date
2010-09-24
Last Update Date
2012-06-07
Business Address
Ms. DEVON TRACEY GALLICE LMSW-cc
58 TUGBOAT LANE
PHIPPSBURG, ME 04562
Phone number: 207-389-1672
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Mailing Address
Ms. DEVON TRACEY GALLICE LMSW-cc
899 RIVERSIDE ST
PORTLAND, ME 04103-1070
Phone number: 207-871-1200
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