TRACEY LEE MINERVINO

BREWER, ME
NPI1912168790
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC13255)
Enumeration Date2008-06-24
Last Update Date2015-02-09
Business Address
-- TRACEY LEE MINERVINO LCSW
141 N MAIN ST STE 203
BREWER, ME 04412-2055
Phone number: 207-907-4343
Mailing Address
-- TRACEY LEE MINERVINO LCSW
141 N MAIN ST STE 203
BREWER, ME 04412-2055
Phone number: 207-907-4343
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