STACEY A LAGRANGE

LEWISTON, ME
NPI1790067130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  CAC5044)
Enumeration Date2011-09-12
Last Update Date2011-09-12
Business Address
-- STACEY A LAGRANGE CADC
300 PINE ST
LEWISTON, ME 04240-6309
Phone number: 207-777-3399
Mailing Address
-- STACEY A LAGRANGE CADC
301 E HEBRON RD
TURNER, ME 04282-4514
Phone number: 207-225-5069
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