MICHAEL LAWRENCE GERVAIS

AUGUSTA, ME
NPI1508978255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ME  CC3046)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- MICHAEL LAWRENCE GERVAIS LCPC-Conditional
66 STONE ST
AUGUSTA, ME 04330-5227
Phone number: 207-626-3455
Mailing Address
-- MICHAEL LAWRENCE GERVAIS LCPC-Conditional
66 STONE ST
AUGUSTA, ME 04330-5227
Phone number: 207-626-3455
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