Most Relevant Information
Provider Data
| NPI Number: | 1003335738 |
| Provider Name: | GRACE NEVINS |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/13/2017 |
| Last Updated: | 09/13/2017 |
Provider Practice Location
207 GANNETT DR # 3
SOUTH PORTLAND
ME
041066910
Practice Location Phone/Fax
| Phone: | 2075360090 |
| Fax: |
Provider Mailing Location
48 EMERSON ST # 2
PORTLAND
ME
041013228
Provider Mailing Phone/Fax
| Phone: | 2077760428 |
| Fax: |