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Individual
MARY BRENNA MCMAHON
Active
Individual
MARY BRENNA MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801103757
MI
104100000X
Social Worker
Primary
6801109270
MI
Other
Enumeration date
02/22/2019
Last updated
10/01/2021
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