TRACY L SOUZA

BANGOR, ME
NPI1861700031
Former NameTRACY L. TUCKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC13597)
Enumeration Date2010-09-21
Last Update Date2019-09-04
Business Address
TRACY L SOUZA LCSW
263 STATE ST STE 9
BANGOR, ME 04401-5461
Phone number: 207-299-3463
Mailing Address
TRACY L SOUZA LCSW
PO BOX 1763
BANGOR, ME 04402-1763
Phone number: 207-299-3463