Individual
MELISSA MCSTAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
370 STEVENS AVE, PORTLAND, ME 04103-2607
(207) 874-8260
Mailing address
370 STEVENS AVE, PORTLAND, ME 04103-2607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC7827
ME
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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