Minervino, Tracey Lee

Minervino, Tracey Lee is an sole proprietor health care provider with primary practice located at 141 N Main St Ste 203 , Brewer ME 04412-2055. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Minervino, Tracey Lee can be contacted via phone (207) 907-4343.

Contact Information

Primary practice address
141 N Main St Ste 203 Brewer ME 04412-2055
Phone: (207) 907-4343
Fax: (207) 907-4343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC13255 Maine

Profile Details

NPI number 1912168790
LBN Legal business name Minervino, Tracey Lee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2008
Last updated Feb 9th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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